磁共振成像和CT应用于极外侧型腰椎间盘突出症的诊断价值比较

摘要

Objective To comparative the clinical diagnosis value of magnetic resonance imaging (MRI) and CT on the extreme lateral lumbar intervertebral disc gerniation. Methods Sixty cases suffered with the extreme lateral lumbar intervertebral disc protrusion disease, were experienced and diagnosed by CT and MRI. The imaging detection positive rate, imaging characteristics were used to compar e the clinical diagnosis value. Results The results showed that there was no significant statistical difference between the two methods on the total detection rate , invasion site as well as the multidetector computed tomography (P>0.05). Conclusion The CT and MRI imaging examination were effective to diagnose type of extreme lateral lumbar intervertebral disc protrusion with high detection rate and has the important clinical diagnostic value and is fundamental to the decisions of operation strategy.%目的：探讨并比较 CT和磁共振成像（MRI）2种方法在临床极外侧型腰椎间盘突出症（FLLDH）诊断中的准确性和临床价值。方法选取我院确诊为FLLDH的60例患者作为研究对象，通过CT及MRI的2种检查方法获得诊断率、诊断部位以及影像学征象等资料来对比两种方式的诊断效果。结果2种影像检查方法在FLLDH阳性诊断率、不同病变部位诊断以及影像学征象3个方面的检查效果差异均无统计学意义（P＞0.05）。结论 CT与MRI用于FLLDH诊断均具有较高诊断符合率，均可作为临床医师确定手术方案的重要影像学依据。