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比较CT与MRI两种影像学检查方法在脊柱外伤诊断的临床价值
引用本文:高连华,李德春,雷慧宁.比较CT与MRI两种影像学检查方法在脊柱外伤诊断的临床价值[J].中国医学装备,2014(12):142-144.
作者姓名:高连华  李德春  雷慧宁
作者单位:徐州市中心医院放射科,江苏徐州221000
摘    要:目的:探讨并研究比较CT与磁共振成像(MRI)两种影像学检查方法应用于脊柱外伤诊断的临床价值。方法:将100例脊柱外伤患者资料根据影像学不同检查方式将其分为观察组和对照组,每组50例。其中对照组采用螺旋CT机对脊柱外伤患者进行诊断;实验组采用MRI进行脊柱外伤诊断。结果:两种脊柱外伤的检查方法在韧带损伤检查中观察组与对照组比较,差异有统计学意义(x2=4.0,P〈0.05)。结论:CT与MRI两种检查方法对脊柱外伤诊断各有利弊,但实验组对于整体脊柱外伤的判断更加准确。因此,两种影像学检查方法的联合使用,能有效的减少脊柱外伤检查错误诊断的发生,值得在临床上大力推荐。

关 键 词:体层摄影术  X线计算机  磁共振成像  脊柱外伤诊断  临床价值

Research on clinical value comparison of applying CT and MRI in the diagnosis of spinal trauma
GAO Lian-hua,LI De-chun,LEI Hui-ning.Research on clinical value comparison of applying CT and MRI in the diagnosis of spinal trauma[J].China Medical Equipment,2014(12):142-144.
Authors:GAO Lian-hua  LI De-chun  LEI Hui-ning
Institution:(Department of Radiology, Central Hospital of Xuzhou, Xiuzhou 221000, China.)
Abstract:Objective:To explore and study the clinical values of CT and MRI in the diagnosis of spinal trauma. Methods: One hundred patients with spinal trauma in our hospital were selected as the study objects and randomly divided them into 2 groups, 50 cases in each group. The control group was diagnosed by CT, the experimental group was diagnosed by MRI. Results: The efficacy of CT(control group) on fracture line and fracture flat shift was better than experimental group, but in the aspect of spinal cord injury, ligamentous injury and soft tissue injury, experimental group(MRI) was more sensitive than control group(x2=4.0, P〈0.05), differences between 2 groups were statistically significant. Conclusion:Every coin has 2 sides, so as to applying CT and MRI in the diagnosis of spinal trauma, but the accuracy to overall spinal trauma of experimental group is higher. Furthermore, it can avoid misdiagnosing with spinal trauma that applying combined CT and MRI, it is worthy of being widely recommended in clinic.
Keywords:Tomography  X-ray computed  Magnetic resonance imaging  Spinal trauma  Clinical value
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