摘要
目的对比分析X线平片、CT及MRI在脊柱转移中的诊断价值。方法收集30例均接受X线平片、CT及MRI检查的脊柱转移瘤确诊患者,比较这3种检查手段对转移瘤的检出效果。结果三种检查方法显示脊柱转移的各种病变数目共171个。其中X线平片共检出59个病变,占总数的34.50%,诊断脊柱转移病例数9例,占总数的30.0%;CT共检出88个病变,占总数的51.46%,诊断脊柱转移病例数16例,占总数的53.33%;MRI共检出171个病变,占总数的100.0%,诊断脊柱转移病例数29例,占总数的96.67%。比较此3种方式对病变检出个数与脊柱转移瘤诊断率具有明显差异(P<0.05)。结论 X线平片、CT及MRI在脊柱转移中均具有重要的诊断价值,MRI在检出脊柱转移中具有明显独特优势。
Objective To compare and analyze the diagnostic values of X-ray,XT and MRI in the spinal metastasis.Methods 30 cases of spinal metastasis patients were selected as the study objects,and al of these patients were given three examination approaches of X-ray,CT and MRI,then the examination results were compared.Results The study results showed that there were 171 times displaying a variety of metastatic spinal lesions with these three methods,in which 59 times of pathological changes were diagnosed with X-ray,accounting for 34.50%,and 9 cases were diagnosed as spinal metastasis,accounting for 30.0%;88 times of pathological changes were diagnosed with CT,accounting for 51.46%,and 16 cases were diagnosed as spinal metastasis,accounting for 53.33%;171 times of pathological changes were diagnosed with MRI,accounting for 100.0%,and 29 cases were diagnosed as spinal metastasis,accounting for 96.67%.There were significant dif erences among the pathological changes diagnostic times and spinal metastasis dianostic rate of these three methods(<0.05).Conclusion X-ray,CT and MRI are important in the diagnosis of spinal metastasis,among which MRI has obvious and special advantages.
作者
傅顺斌
李振武
杨海丽
杨涛
姚永刚
FU Shun-bin;LI Zhen-wu;YANG Hai-li;YANG Tao;YAO Yong-gang(Department of Radiology,Beijing Daxing District People's Hospital,Beijing 102600,China)
