摘要
目的 探讨在腰椎间盘突出症患者诊断中分别应用MRI与CT检查的诊断价值。方法 试验对象选于2021.01-2021.12期间，在本院就医的腰椎间盘突出症患者72例，以随机盲选法均分作2组，分别以CT检查（对照组）与MRI检查（观察组），统计诊断结果差异性。结果 观察组神经根受压、硬囊膜受压、脊髓变形及椎间盘变性检出率比对照组高，P＜0.05；观察组钙化及椎间盘积气检出率比对照组低，P＜0.05。结论 以MRI与CT方式实施诊断，均可得到一定诊断效果，但与CT检查相比，MRI检查准确率较高，临床需结合患者具体情况合理选择检查方式，为后续制定诊疗计划提供可靠依据。
关键词： MRI；CT；腰椎间盘突出；准确性；检出率
Abstract
Objective To explore the diagnostic value of MRI and CT in the diagnosis of patients with lumbar disc herniation. Methods the subjects were 72 patients with lumbar disc herniation treated in our hospital from January 2021 to December 2021. They were randomly and blindly divided into two groups. They were examined by CT (control group) and MRI (observation group). The differences of diagnostic results were statistically analyzed. Results the detection rates of nerve root compression, hard capsule compression, spinal cord deformation and intervertebral disc degeneration in the observation group were higher than those in the control group (P < 0.05); The detection rates of calcification and pneumointervertebral disc in the observation group were lower than those in the control group (P < 0.05). Conclusion MRI and CT can achieve certain diagnostic results, but compared with CT, MRI has a higher accuracy. Clinically, it is necessary to reasonably select the examination method in combination with the specific situation of patients, so as to provide a reliable basis for the follow-up diagnosis and treatment plan.
Key words： MRI; CT; lumbar disc protrusion; Accuracy; Detection rate
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