核素骨显像、MSCT在腰椎退行性病变患者诊治中的应用

目的 探讨核素骨显像、多层螺旋CT(MSCT)在腰椎退行性病变患者诊治中的应用.方法 回顾性研究我院2017年1月至2019年1院期间我院收治的98例(255椎体)腰椎退行性病变患者,采用核素骨显像与MSCT检查,记录MSCT不同退变程度的腰椎数量与核素骨显像浓度情况,进行Spearman分析.结果 L3～5腰椎I度浓...

Application of Radionuclide Bone Imaging and MSCT in the Diagnosis and Treatment of Patients with Lumbar Degenerative Diseases

Objective To investigate the application of radionuclide bone imaging and multi-slice spiral CT(MSCT) in the diagnosis and treatment of patients with lumbar degenerative diseases. Methods A retrospective study of 98 patients(255 lumbar vertebras) with lumbar degenerative disease admitted to our hospital from January 2017 to January 2019 was performed. Radionuclide bone imaging and MSCT were conducted to record the number of lumbar vertebrae and the radionuclide bone imaging concentration of MSCT with different degrees of degeneration. Spearman analysis was performed. Results The distribution of lumbar vertebrae Ⅰ degree concentration in L3-5 was statistically significant compared with L1-2 lumbar vertebra Ⅰ degree, Ⅱ degree, and Ⅲ degree concentration(P<0.05). Spearman correlation analysis indicated that there was a positive correlation between the application of radionuclide bone imaging in lumbar degenerative disease and the degree of vertebral hyperosteogeny, the degree of vertebral facet joint hyperplasia, the degree of vertebral endplate sclerosis, intervertebral disc bulging or protrusion(r=0.574, 0.452, 0.152, 0.302, P<0.05). Conclusion The concentration of radionuclide bone imaging is related to the degree and location of MSCT degeneration. When using radionuclide bone imaging screening, attention should be paid to the abnormal concentration of radionuclide caused by lumbar degeneration and should be combined with MSCT examination to confirm diagnosis.