Abstract：Objective: To compare and analyze the clinical diagnosis of X-ray, CT, MRI diagnosis for cervical spondylosis patients. Methods: 68 cases of cervical spondylosis admitted to our hospital in December 2016 ~2017 in December were selected as research subjects. All patients were diagnosed by X-ray, CT and MRI. The results of three different diagnostic methods were compared As well as the specific signs of the situation. Results: The detection rates of patients with intervertebral space stenosis, abnormal curvature of the cervical spine, and bony stenosis using MRI were significantly higher than those diagnosed by CT. The difference between the two groups was statistically significant (P<0.05); The detection rate of intervertebral space stenosis, facet joint hyperplasia, uncinate process, bony stenosis, and vertebral body osteophytes were significantly higher than those of X-ray plain film (P<0.05). CT diagnosis hook The detection rate of sudden hyperplasia was significantly higher than that of X-ray examination. There was a statistically significant difference between groups (P<0.05). The specific signs of X-ray, CT, and MRI were respectively 35.29% (24/68), 23.53% (16/68), and 11.76% (8/68). The ratio of specific signs detected by X-ray film significantly higher than the MRI detection rate, the difference between the groups was statistically significant (P<0.05). Conclusion: The detection rate of CT diagnosis and MRI diagnosis of cervical spondylosis is higher than that of X-ray plain film. Clinical diagnosis of cervical spondylosis with CT diagnosis or MRI diagnosis can effectively improve the clinical diagnosis effect of cervical spondylosis, and has a high clinical diagnostic value.
李晓会, 靳囡, 晋瑞, 唐鉴, 毛翠平. 颈椎病的X线平片CT及MRI诊断和临床应用效果分析[J]. 河北医学, 2018, 24(9): 1537-1539.
LI Xiaohui, MAO Cuiping, JIN Rui, et al. Efficacy Analysis on Diagnosis and Clinical Application of X-ray CT and MRI of Cervical Spondylosis. HeBei Med, 2018, 24(9): 1537-1539.
[1] 程招军,彭兵,范俊超,等.脊髓型颈椎病患者颈椎MRI与X线片矢状位参数的对比分析[J].中国脊柱脊髓杂志,2016,26(7):591~595. [2] 谭永明,周福庆,刘志礼,等.脊髓型颈椎病患者解压术后大脑皮层结构重塑的MRI研究[J].临床放射学杂志,2016,35(9):1315~1319. [3] Deftereos S N, Kechagias E, Ioakeimidou C, et al. Transcranial magnetic stimulation but not MRI predicts long-term clinical status in cervical spondylosis: a case series[J]. Spinal Cord,2015, 53 Suppl 1: S16~S18. [4] 雷宇,于淼,刘晓光,等.脊髓型颈椎病患者脊髓MRIT2WI高信号的危险因素[J].中国脊柱脊髓杂志,2016,26(7):585~590. [5] 谭永明,周福庆,刘志礼,等.脊髓型颈椎病患者减压术后感觉运动皮层局部一致性改变的静息态功能MRI研究[J].中华放射学杂志,2016,50(7):495~499. [6] Lindberg P G, Sanchez K, Ozcan F, et al. Correlation of force control with regional spinal DTI in patients with cervical spondylosis without signs of spinal cord injury on conventional MRI[J]. EurRadiol,2016, 26(3): 733~742. [7] 杨静,张敏,郭会利,等.负重动力位MRI在颈椎病诊断中的价值[J].中医正骨,2014,26(6):39~42. [8] 张川,杨汉丰.脊髓型颈椎病的MRI研究进展[J].医学影像学杂志,2015,23(2):337~340. [9] Chen W, Hou X, Chen J, et al.MRI pain matrix regional homogeneity in cervical spondylosis of neck type treated with acupuncture at multiple acupoints[J]. Zhongguo Zhen Jiu,2015, 35(10): 1005~1009. [10] 邵丽希,刘岩.X线平片CT、MRI诊断颈椎病的临床应用价值研究[J].影像技术,2014,26(2):25~27. [11] Augier A, Ould H Y, Neves F, et al.MRI features of spinal neurosarcoidosisassocied with cervical spondylosis[J]. Rev Neurol (Paris),2010, 166(2): 257~261. [12] 刘涛,温志波,蔡汉寿,等.DTI技术与常规MRI在脊髓型颈椎病观察脊髓损伤中的对比研究[J].中国CT和MRI杂志,2014,12(3):103~106. [13] Feng M S, Gao J H, Zhu L G, et al. Analysis of X-ray signs of cervical spondylosis between vertebral artery type and radiculopathy[J]. ZhongguoGu Shang,2015, 28(4): 330~334. [14] 刘东华,方长海,钱银峰,等.颈椎病的MRI诊断与分型[J].中国医学计算机成像杂志,2015,21(3):273~277.
2018, Vol. 24 
冀公网安备13080202000677号