摘要
目的比较磁共振成像(MRI)与CT在临床诊断脊柱结核中的应用效果。方法66例疑似脊柱结核患者,均接受CT与MRI检查。归纳分类两种检查方法影像表现,统计比较两种检查方法与手术结果显示的累及部位。结果MRI检查韧带下扩散、脊膜强化、硬膜外或锥孔侵犯准确率分别为51.6%、45.8%、50.0%,均高于CT检查的17.7%、8.3%、20.0%,检查死骨钙化准确率8.6%低于CT检查的81.0%,差异均具有统计学意义(P<0.05)。结论临床诊断脊柱结核中,CT与MRI均各有优势,CT能够显示骨组织各类情况,MRI检查可确定软组织病变部位,为提高诊断准确率,减少漏诊与误诊产生,临床可联合两种检查方法,以提高诊断准确率。
Objective To compare the practical effect of CT and magnetic resonance imaging(MRI)in the clinical diagnosis of spinal tuberculosis.Methods All 66 patients with suspected spinal tuberculosis all received CT and MRI examination.The imaging manifestations of the two methods were summarized and classified,and the involved parts of the two methods and the surgical results were compared statistically.Results The accuracy of MRI examination of subligament spread,spinal membrane enhancement,epidural or cone invasion were 51.6%,45.8%and 50.0%,which were all higher than 17.7%,8.3%and 20.0%of CT examination,and accuracy of dead bone calcification 8.6%was lower than 81.0%of CT examination.The difference was statistically significant(P<0.05).Conclusion CT and MRI have their own advantages in the clinical diagnosis of spinal tuberculosis..CT can show all kinds of bone tissue,and MRI can determine the location of soft tissue lesions.In order to improve the accuracy of diagnosis and reduce the occurrence of missed diagnosis and misdiagnosis,the two methods can be combined to improve the diagnostic accuracy.
作者
宋金丽
SONG Jin-li(Department of Radiology,Dashiqiao Central Hospital,Dashiqiao 115100,China)
出处
《中国现代药物应用》
2021年第4期60-62,共3页
Chinese Journal of Modern Drug Application
关键词
CT
磁共振成像
脊柱结核
临床诊断
CT
Magnetic resonance imaging
Spinal tuberculosis
Clinical diagnosis
