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目的分析和对比在髓核游离型椎间盘脱出症诊断中采用MRI与CT的临床诊断价值。方法选取我院收治的髓核游离型椎间盘脱出症44例患者的临床资料进行分析,选取时段为2011年3月至2016年3月期间,分别采用MRI与CT进行诊断,并与手术治疗结果进行比照,分析2种诊断手段的临床诊断价值。结果经手术已经证实44例均为髓核游离型椎间盘脱出症,经MRI诊断43例为髓核游离型椎间盘脱出症,诊断符合率为97.73%;经CT诊断35例为髓核游离型椎间盘脱出症,诊断符合率为79.55%,MRI和CT诊断符合率对比差异P<0.05,形成了统计学意义。结论在髓核游离型椎间盘脱出症诊断中采用MRI诊断相比于CT诊断准确性更高,在临床诊断中值得应用和推广。
Objective To analyze and compare the clinical value of MRI and CT in the diagnosis of idiopathic discectomy of nucleus pulposus. Methods The clinical data of 44 patients with nucleus pulposus-type disc herniation admitted in our hospital were analyzed. The selected period was from March 2011 to March 2016, and MRI and CT were used to diagnose them respectively. The results were compared with those of surgical treatment By comparison, the diagnostic value of two diagnostic methods was analyzed. Results All the 44 cases were proved to be free nucleus pulposus discectomy by surgery. The diagnosis of idiopathic disc herniation was performed by MRI in 43 cases. The diagnostic coincidence rate was 97.73%. The diagnosis of idiopathic disc dislocation The coincidence rate of diagnosis and diagnosis was 79.55%. The difference of coincidence rate between MRI and CT diagnosis was P <0.05, which formed statistical significance. Conclusion MRI diagnosis of nucleus pulposus disc herniation is more accurate than CT in diagnosing idiopathic nucleus pulposus. It is worthy of application and promotion in clinical diagnosis.