回顾性分析16排CT在诊断腰椎间盘突出的临床应用

目的回顾性分析16排CT在腰椎间盘突出的诊断中的临床应用效果。方法回顾性分析2012年2月至2013年2月江油市中医医院收治的102例腰椎间盘突出患者的临床资料。使用16排螺旋CT机对所有患者同时行传统的椎间盘层面轴位扫描与全腰椎容积扫描,比较扫描结果与诊断效果。结果两种扫描方法的诊断结果相比,除了在L2^L3段膨出的诊断上的差异有统计学意义(P<0.05)外,其诊断突出及L1L3段膨出的诊断上的差异有统计学意义(P<0.05)外,其诊断突出及L1^L2、L3L2、L3^L4、L4L4、L4^L5、L5L5、L5^S1段两种扫描方法诊断膨出和突出的效果,差异均无统计学意义(P>0.05)。16排螺旋CT扫描全腰椎容积扫描重建法在L1S1段两种扫描方法诊断膨出和突出的效果,差异均无统计学意义(P>0.05)。16排螺旋CT扫描全腰椎容积扫描重建法在L1^L2段和L2L2段和L2^L3段扫描出膨出和突出情况,而传统轴位扫描法在此段却未有发现。结论传统轴位扫描法与容积扫描重建法具有相同的诊断结果,但16排螺旋CT扫描技术在检查腰椎间盘突出患者各个椎体缘的增生、椎管与椎间孔的骨性狭窄等方面具有优势,诊断范围显著优于传统的扫描技术。

Retrospective Analysis of Clinical Application of 16-slice CT in the Diagnosis of Lumbar Disc Herniation

Objective To retrospective analyze the clinical effect of 16-slice CT in the diagnosis of lumbar disc herniation. Methods Retrospective analysis of clinical data of 102 patients with lumbar disc patients fromJiangyou City Chinese Medicine Hospital during Feb. 2012 and Feb. 2013 was done. 16-slice spiral CT was used for traditional intervertebral level axial scanning and whole lumbar spine volume scanning simultaneously, and the scan results and diagnostic results were compared. Results Comparing the diagnostic results of the two scanning methods, except that the difference in the diagnosis of L2-L3 section on bulging was statistically significant （ P 〈 0.05 ）, the diagnosis results of L1 -L2, L3-L4, L4-L5, L5 -S1 segment bulging and prominent of the two scanning method were not statistically significantly different （P 〉 0.05 ）. 16-slice spiral CT scan reconstruction of the whole lumbar spine volumetric method discovered bulging and prominent condition in L1 -L2 and L2-L3 were not discovered by the traditional axial scanning method. Conclusion Traditional axial scanning method and volumetric scan reconstruction method have the same diagnosis, but the 16-slice spiral CT scanning has advantages in examining the proliferation of various vertebral edges, spinal bone and intervertebral foramen stenosis of the patients with lumbar disc herniation, With the diagnostic coverage signlficantly better than the conventional scanning techniques.