MRI在骶骨骨折合并骶神经损伤诊断中的应用价值
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摘要
目的分析MRI在骶骨骨折合并骶神经损伤中的临床诊断价值。方法选取2013年1~12月本院收治的骶骨骨折合并骶神经损伤患者30例,随机分为对比组和调查组。对比组15例患者接受16层螺旋CT扫描,调查组15例患者接受超导MRI扫描,比较两组的敏感度、特异度、假阳性率和假阴性率。结果调查组的敏感度、特异度均为93.3%,均高于对比组(P<0.05);调查组的假阳性率和假阴性率均为6.7%,均低于对比组,差异有统计学意义(P<0.05)。结论临床上,MRI对骶骨骨折并骶神经损伤患者的诊断确切,可为临床用药提供科学指导。
Objective To analyze clinical diagnostic value of MRI in the sacral fracture combined with sacral nerve injury. Methods 30 patients with sacral fracture combined with sacral nerve injury from January 2013 to December2013 in our hospital were selected and randomly divided into control group and investigation group.16-slice CT scanner was used in control group(15 cases),superconducting MRI was applied in investigation group(15 cases).The sensitivity,specificity,false positive rate and false negative rate between two groups were compared. Results The sensitivity,specificity of investigation group was 93.3% respectively,higher than that of control group respectively(P<0.05).The false positive rate and false negative rate of investigation group was 6.7% respectively,lower than that of control group respectively,with statistical difference(P<0.05). Conclusion MRI in the diagnosis of patients with sacral fracture combined with sacral nerve damage is exact in clinic,can provide scientific guidance for clinical medication.
Objective To analyze clinical diagnostic value of MRI in the sacral fracture combined with sacral nerve injury. Methods 30 patients with sacral fracture combined with sacral nerve injury from January 2013 to December2013 in our hospital were selected and randomly divided into control group and investigation group.16-slice CT scanner was used in control group(15 cases),superconducting MRI was applied in investigation group(15 cases).The sensitivity,specificity,false positive rate and false negative rate between two groups were compared. Results The sensitivity,specificity of investigation group was 93.3% respectively,higher than that of control group respectively(P<0.05).The false positive rate and false negative rate of investigation group was 6.7% respectively,lower than that of control group respectively,with statistical difference(P<0.05). Conclusion MRI in the diagnosis of patients with sacral fracture combined with sacral nerve damage is exact in clinic,can provide scientific guidance for clinical medication.
引文
[1]邱凯涛,王志龙,黄智棠,等.骶骨骨折合并骶神经损伤的MRI诊断及临床应用研究[J].中国医药科学,2011,1(21):95-96.
[2]吴龙节.骶骨骨折合并骶神经损伤的MRI诊断及临床应用[J].中国医药指南,2012,10(32):566-567.
[3]许道洲,罗树彬,夏好成,等.磁共振SPACE-STIR序列扫描对骶骨骨折合并骶神经损伤的诊断价值[J].中国脊柱脊髓杂志,2011,21(7):545-549.
[4]李明,徐荣明.隐匿骶骨骨折的诊治[J].中国骨伤,2011,24(12):1051-1054.
[5]刘金合,马宗杰,陈迎新,等.骶骨骨折合并神经损伤的诊断与治疗分析[J].中国卫生产业,2013,(23):90,92.
[6]汪方,谢杨,官正茂,等.合并神经损伤的骶骨骨折[A].//第一届长三角地区创伤学术会议论文集[C].2008:223-225.
[7]田征,白靖平,锡林宝勒日,等.骶骨骨折合并骶神经损伤的MRI诊断及临床应用[J].中国修复重建外科杂志,2008,22(9):1096-1099.
[8]柳曦,孔祥泉,吕银章,等.臂丛及腰骶丛神经损伤及失神经支配骨骼肌的MRI表现[J].临床放射学杂志,2012,31 (2):239-243.
[9]田征,白靖平,锡林宝勒日,等.骶神经损伤的MRI及应用研究[J].第四军医大学学报,2008,29(11):封3 .
[10]吴茂铸,倪淑红,应琦,等.多层螺旋CT及后处理技术在骶骨骨折诊断中的应用[J].实用放射学杂志,2010,26(12):1789-1791,1808.
[11]孙海波,潘进社.骶骨骨折合并神经损伤的诊断和治疗新进展[J].中国矫形外科杂志,2009,17(24):1866-1868.
[12]戴康贤,祝华强,邱剑,等.螺旋CT及三维重建技术在骶骨骨折诊断及治疗中的应用价值[J].黑龙江医学,2013,37(8):703-705.
[13]陆非,张继军,段建国,等.64层螺旋CT后处理技术在骶骨骨折诊断中的应用[J].新疆医学,2012,42(1):103-105.
[2]吴龙节.骶骨骨折合并骶神经损伤的MRI诊断及临床应用[J].中国医药指南,2012,10(32):566-567.
[3]许道洲,罗树彬,夏好成,等.磁共振SPACE-STIR序列扫描对骶骨骨折合并骶神经损伤的诊断价值[J].中国脊柱脊髓杂志,2011,21(7):545-549.
[4]李明,徐荣明.隐匿骶骨骨折的诊治[J].中国骨伤,2011,24(12):1051-1054.
[5]刘金合,马宗杰,陈迎新,等.骶骨骨折合并神经损伤的诊断与治疗分析[J].中国卫生产业,2013,(23):90,92.
[6]汪方,谢杨,官正茂,等.合并神经损伤的骶骨骨折[A].//第一届长三角地区创伤学术会议论文集[C].2008:223-225.
[7]田征,白靖平,锡林宝勒日,等.骶骨骨折合并骶神经损伤的MRI诊断及临床应用[J].中国修复重建外科杂志,2008,22(9):1096-1099.
[8]柳曦,孔祥泉,吕银章,等.臂丛及腰骶丛神经损伤及失神经支配骨骼肌的MRI表现[J].临床放射学杂志,2012,31 (2):239-243.
[9]田征,白靖平,锡林宝勒日,等.骶神经损伤的MRI及应用研究[J].第四军医大学学报,2008,29(11):封3 .
[10]吴茂铸,倪淑红,应琦,等.多层螺旋CT及后处理技术在骶骨骨折诊断中的应用[J].实用放射学杂志,2010,26(12):1789-1791,1808.
[11]孙海波,潘进社.骶骨骨折合并神经损伤的诊断和治疗新进展[J].中国矫形外科杂志,2009,17(24):1866-1868.
[12]戴康贤,祝华强,邱剑,等.螺旋CT及三维重建技术在骶骨骨折诊断及治疗中的应用价值[J].黑龙江医学,2013,37(8):703-705.
[13]陆非,张继军,段建国,等.64层螺旋CT后处理技术在骶骨骨折诊断中的应用[J].新疆医学,2012,42(1):103-105.