摘要:目的分析MRI与CT检查腰椎间盘突出症的临床价值。方法选取74例腰椎间盘突出患者加入研究,术前均行CT检查、MRI检查,以手术诊断结果为金标准,分析这两种影像学检查方法的应用价值。结果以手术诊断结果为金标准,MRI对腰椎间盘突出的诊断准确率为91.89%,高于CT检测的78.38%,差异具有统计学意义(P〈0.05);CT对钙化、椎间盘积气的检出率高于MRI,差异具有统计学意义(P〈0.05),CT脊髓变形、硬膜囊受压、椎间盘变形的检出率低于MRI,差异具有统计学意义(P〈0.05)。结论与CT相比,MRI对腰椎间盘突出的诊断准确率更高,CT在检出钙化及椎间盘积气方面更具优势。两者联合应用可减少腰椎间盘突出诊断的误诊率。
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