CT与X线检查对脊柱骨折的诊断价值研究

Study on the Diagnostic Value of CT and X-ray Examination for Spinal Fractures

目的:探讨CT与X线检查对脊柱骨折的临床诊断价值。方法:选取江苏省邳州市中医院2020年1月-2022年12月收治的60例疑似脊柱骨折患者为研究对象,进行CT与X线检查,分析比较两组检查方式的临床诊断价值。结果:X线检出结果,阳性患者49例,阴性患者6例,灵敏度为84.50%(49/56),特异度为60.00%(6/10),准确度为83.33%(55/66);CT检查结果,阳性患者52例,阴性患者8例,灵敏度为92.86%(52/56),特异度为80.00%(8/10),准确度为90.91%(60/66)。CT检查灵敏度、特异度、准确度高于X线(P<0.05)。结论:对脊柱骨折患者采取X线、CT检查均具备较高的诊断价值,其中CT检查所具价值相对较高,应结合患者实际情况选择检查方式,提高诊断价值,为后续治疗提供一定支持,值得广泛推广应用。

Objective:Explore the clinical diagnostic value of CT and X-ray examination for spinal fractures.Methods:Select 60 cases of suspected spinal fracture patients admitted to Pizhou Hospital of Traditional Chinese Medicine from January 2020 to December 2022 as research objects,conduct CT and X-ray examination,and analyze and compare the clinical diagnostic value of the two groups of examination methods.Results:The X-ray detection results showed that there were 49 positive patients and 6 negative patients,with a sensitivity of 84.50%(49/56),a specificity of 60.00%(6/10),and an accuracy of 83.33%(55/66);The CT examination results showed that there were 52 positive patients and 8 negative patients,with sensitivity of 92.86%(52/56),specificity of 80.00%(8/10),and accuracy of 90.91%(60/66).The sensitivity,specificity,and accuracy of CT examination were higher than those of X-ray(P<0.05).Conclusion:Both X-ray and CT examinations have high diagnostic value for patients with spinal fractures,among which CT examination has relatively high value.The examination method should be selected based on the actual situation of the patient to improve diagnostic value and provide certain support for subsequent treatment,which is worthy of widespread promotion and application.