78例脊柱创伤病的CT检查临床分析

目的通过对比CT检查与MRI检查的阳性检查率,探讨CT检查在脊柱创伤患者诊断中的临床应用价值。方法对本医院78例脊柱创伤患者病例进行分析,然后对所有的患者均进行CT检查与MRI检查;经CT检查与MRI检查诊断后,对所有患者CT及MRI的诊断结果进行对比分析。结果经分析发现78例脊柱创伤病的患者中单纯椎体压缩骨折12例、椎体压缩骨折伴附件骨折40例、椎体压缩骨折伴椎间盘突出26例;经CT检查,78例脊柱创伤患者的骨折阳性检出率为100%;经MRI检查,单纯椎体压缩骨折的阳性检出率为83.3%,椎体压缩骨折伴附件骨折的检出率为80%,椎体压缩骨折伴椎间盘突出的检出率为100%。CT的检出率显著高于MRI的检出率,差异显著,具有统计学意义(P<0.05)。结论 CT检查能全面非常准确地断诊患者脊柱受损情况,检查出患者脊髓损伤的部位及损伤程度,应成为临床检查脊柱创伤患者的必选检查,MRI检查必要时可以作为一种补充检查手段。

78 Cases of Spinal Trauma Patients Clinical Analysis of CT Examination

Objective By comparing the positive testing rates of CT scan and MRI examination,we explore the value of CT examination in the diagnosis of spinal trauma patients in clinical application. Methods We analyzed 78 cases of of spinal trauma patients in our hospital.And then all patients were underwent CT scan and MRI examination. After the examination of CT scan and MRI diagnosis, all patients, the diagnosis of CT and MRI results were analyzed. Results The analysis found that in the 78 cases of the patients,there were 12 cases of traumatic spinal vertebral compression fractures alone,40 cases of vertebral compression fractures with attachments fractures and 26 cases of vertebral compression fractures with disc herniation. By CT examination,78 cases of spinal trauma patients, positive detection rate was 100%. By MRI, the positive rate of simple vertebral compression fractures was 83.3%, the detection rate of vertebral compression fractures with attachment was 80% of fractures and the detection rate of vertebral compression fractures with disc was 100%. The detection rate of CT was significantly higher than the detection rate of MRI.The difference was significant, with statistical significance（P〈0.05）. Conclusion CT examination can very accurately round off their patient＇s spine damage and check out the site of spinal cord injury patients and the degree of injury. Clinical examination should be mandatory spine trauma patient examination. If necessary, MRI examination can be used as a complementary examination means.