摘要
目的:探究CT、MR对腰椎间盘突出症诊断的临床对比分析。方法:将选取我院自2016年3月-2017年7月期间收治的腰间突出症的患者80例,随机分为两组,即对照组与研究组。对照组给予CT的检查诊断方式,研究组给予MR的检查诊断方式。通过对比两组检查方式后患者手术后的病理结果,进而辨别两种检查方式的临床诊断性。结果:研究组的诊断方式结果的准确性明显优于对照组(P <0. 05);研究组的诊断方法图像呈现的质量明显高于对照组(P <0. 05)。结论:在对腰椎间盘突出症的患者进行临床的诊断的过程中,对患者采取应用MR进行临床的诊断时的临床诊断的准确率明显高于患者使用CT进行诊断的准确率。值得在临床中大力推广使用对患者使用。
Objective: to explore the clinical comparative analysis of CT and MR in the diagnosis of lumbar disc herniation. Methods: 80 patients with lumbar protrusion treated in our hospital from March 2016 to July 2017 were selected and randomly divided into two groups,namely the control group and the research group. The control group was given CT and the research group was given MR. By comparing the pathological results of the two groups of patients after surgery,the clinical diagnosis of the two types of examination was identified. Results: the accuracy of the diagnosis method of the study group was significantly better than that of the control group( P < 0. 05). The quality of the diagnostic images of the study group was significantly higher than that of the control group( P < 0. 05). Conclusion: in the process of clinical diagnosis of lumbar disc herniation,the accuracy rate of clinical diagnosis using MR was significantly higher than that using CT. It is worthy to be widely used in clinic for patients.
引文
1于海宾,鲁睿,曹玮,等."三增加"改良胶原酶溶解术治疗巨大腰椎间盘突出症的临床应用[J].实用放射学杂志,2016,32(4):614-617.
2桂召柳,吴天亮,林志祥,等.三维CT导航辅助下经椎间孔椎体间融合术治疗腰椎间盘突出症的临床疗效及安全性[J].山东医药,2017,57(17):85-87.
3李兵,徐晓雪,杜勇,等.CT引导下化学消融术联合腰大肌间沟阻滞治疗腰椎间盘突出症的随机对照研究[J].临床放射学杂志,2016,35(9):1432-1436.
4杨佳宁,陈宾,宋有鑫,等.MIS-TLIF下单纯椎间植骨融合与椎间Cage融合治疗腰椎间盘突出症疗效对比研究[J].重庆医学,2017,46(8):1048-1051.
5杜鹏,肖越勇,卢伟.CT引导经皮髓核旋切术联合臭氧注射治疗腰椎间盘突出症的疗效观察[J].中国介入影像与治疗学,2017,14(5):266-269.
6李丽艳,郭云志,韩晓梅,等.磁共振选择性激励技术和弥散张量成像在腰椎间盘突出致单侧腰骶神经根压迫症中的应用价值研究[J].中国全科医学,2018,23(15)23-25.
7汪政武,高肖波,陈波,等.CT引导下选择性神经根注射治疗多节段腰椎间盘突出症的临床研究[J].介入放射学杂志,2016,25(2):145-150.
8麻凤玉,王叶新,孟纯阳,等.TESSYS技术治疗脱垂型腰椎间盘突出症穿刺头倾角的安全范围[J].中国矫形外科杂志,2017,25(11):978-983.
9刘新宇,原所茂,田永昊,等.微创经椎间孔腰椎椎间融合在腰椎退行性疾病翻修中的应用[J].中华骨科杂志,2017,37(3):137-144.
10钟平,李德炯,刘路,等.MRN联合MIP在LDH老年患者腰骶脊神经根的应用价值研究[J].中国地方病防治杂志,2017,12(5):561-562.