核磁成像技术在脊柱结核早期诊断中应用分析

Application Analysis of MRI Technology in the Early Diagnosis of Spinal Tuberculosis

目的探究1.5T核磁成像技术(MRI)在脊柱结核早期诊断中的应用价值。方法选择2019年1月至2021年1月于我院接受治疗的61例确诊为脊柱结核患者为研究对象,分别对其开展1.5T MRI检测和数字平片(DR)检测,分析两种检测手段对病变显示率差异,同时对比两种检测方式的诊断价值差异。结果(1)61例患者出现侵犯颈椎者4例(6.56%),出现胸椎病变10例(16.39%),出现腰椎段病变30例(49.18%),胸腰椎段病变13例(21.31%),出现骶椎病变3例(4.92%)。病变者中有2例为单个椎体受累,有11例出现2个椎体受累,有48例显示出现3个及以上椎体受累。(2)1.5T MRI对脊柱结核各种病变检测具有更高的敏感性,显著优于DR检测(P<0.05),而在脊柱畸形方面,两种检测方式的敏感性并无明显差异(P>0.05)。结论脊柱结核DR和MRI影像学表现差异较为明显,MRI对脊柱结核具有较高的诊断敏感性,有助于明确病变对周围组织的侵犯情况,对开展外科治疗具有积极的指导意义。

Objective To explore the application value of 1.5T magnetic imaging technology(MRI)in the early diagnosis of spinal tuberculosis.Methods The 61 patients diagnosed with spinal tuberculosis who were treated in our hospital from January 2019 to January 2021 were selected as the research objects,and 1.5T MRI detection and digital plain film(DR)detection were carried out on them,respectively,and the two detections were analyzed.The method shows the difference in the rate of lesions,and compares the difference in the diagnostic value of the two detection methods at the same time.Results(1)61 patients had cervical spine infringement in 4 cases(6.56%),thoracic spine lesions in 10 cases(16.39%),lumbar spine lesions in 30 cases(49.18%),thoracolumbar spine lesions in 13 cases(21.31%),3 cases(4.92%)of sacral lesions occurred.Among the diseased patients,2 cases had single vertebrae involvement,11 cases had 2 vertebrae involvement,and 48 cases showed 3 or more vertebrae involvement.(2)1.5T MRI has higher sensitivity for the detection of various spinal tuberculosis lesions,and is significantly better than DR detection(P<0.05),and in terms of spinal deformity,the sensitivity of the two detection methods is not different(P>0.05).Conclusion There is a difference between DR and MRI imaging manifestations of spinal tuberculosis.MRI has a high diagnostic sensitivity for spinal tuberculosis,which helps to clarify the invasion of lesions to surrounding tissues and has positive guiding significance for surgical treatment.