摘要
目的分析对脊柱外伤患者诊断时,采用CT检查和磁共振成像(MRI)的临床价值。方法将我院于2017年2月至2018年2月所收治的脊柱外伤患者64例纳入本次研究中,依据检查方法的不同将其平均分为研究组和对照组,每组各为32例。研究组行MRI检查方法,对照组行CT检查方法。对比两组患者予以不同方式检查后的检查结果以及韧带损伤和脊髓损伤检出率结果。结果①对照组韧带损伤、脊髓损伤、软组织损伤、骨折线以及椎弓骨折检查结果例数分别为11例(34.4%)、18例(56.25%)、25例(78.1%)、30例(93.7%)以及17例(53.1%);研究组分别为20例(62.5%)、21例(65.6%)、31例(96.9%)、24例(75.0%)、19例(59.4%)。②脊髓和韧带损伤检出率分析,对照组为14例(43.7%)和17例(53.1%),研究组分别为22例(68.75%)和25例(78.1%),组间对比有统计学意义(P<0.05)。结论CT检查方式以及MRI检查在脊柱外伤中各有优点和缺点,相对来说,MRI检查形式更加精准,所以两种影像学检查可以联合应用,能够对脊柱外伤检查错误诊断发生率降低,临床推广价值可行。
Objective To analyze the clinical value of CT and magnetic resonance imaging(MRI)in the diagnosis of spinal trauma.Methods 64 patients with spinal trauma admitted to our hospital from February 2017 to February 2018 were included in this study.According to the different examination methods,they were divided into study group and control group,with 32 cases in each group.The study group underwent MRI examination,while the control group underwent CT examination.The results of different examinations and the detection rates of ligament injury and spinal cord injury were compared between the two groups.Results(1)In the control group,there were 11 cases(34.4%),18 cases(56.25%),25 cases(78.1%),30 cases(93.7%)and 17 cases(53.1%)of ligament injury,spinal cord injury,soft tissue injury,fracture line and vertebral arch fracture.In the study group,there were 20 cases(62.5%),21 cases(65.6%),31 cases(96.9%),24 cases(75.0%)and 19 cases(59.4%)respectively.(2)The detection rate of spinal cord and ligament injuries was analyzed.There were 14 cases(43.7%)in the control group and 17 cases(53.1%)in the study group,22 cases(68.75%)and 25 cases(78.1%)in the study group,respectively.There was significant difference between the two groups(P<0.05).Conclusion CT examination and MRI examination have their own advantages and disadvantages in spinal trauma.Relatively speaking,the form of MRI examination is more accurate,so the two imaging examinations can be combined to reduce the incidence of misdiagnosis of spinal trauma examination,and the clinical popularization value is feasible.
作者
刘佳鹏
LIU Jia-peng(Department of Radiology,the First Hospital of Dandong City,Dandong 118000,China)
出处
《中国医药指南》
2020年第17期70-71,共2页
Guide of China Medicine
关键词
CT检查
MRI检查
记脊柱外伤
检出率
价值分析
CT examination
MRI examination
Recording spinal trauma
Detection rate
Value analysis
