腰椎间盘突出检查中MRI与CT的临床诊断价值比较

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【摘要】目的：探讨腰椎间盘突出检查中MRI与CT的临床诊断价值。方法：回顾性分析2022年1月—2022年11月间90例经手术证实的腰椎间盘突出患者的资料，所有患者均在入院24h内行腰椎CT检查与腰椎MRI检查，所得结果与手术病理结果进行比较。结果：腰椎CT检查钙化、椎间盘积气及椎间盘变形的检出率明显高于腰椎MRI检查，差异有统计学意义（P

【关键词】腰椎间盘突出；CT；MRI

Comparison of clinical diagnostic value between MRI and CT in the examination of lumbar disc herniation

LU Diantao

Zhaoyuan People’s Hospital， Yantai， Shandong 265400， China

【Abstract】Objective：To explore the clinical diagnostic value of MRI and CT in the examination of lumbar disc herniation.Methods：A retrospective analysis was conducted on the data of 90 patients with lumbar disc herniation confirmed by surgery between January 2022 and November 2022.All patients underwent lumbar CT and MRI examinations within 24 hours of admission，and the results were compared with surgical pathological results.Results：The detection rates of calcification，intervertebral disc gas accumulation，and intervertebral disc deformation in lumbar CT examination were significantly higher than those in lumbar MRI examination，with a statistically significant difference（P

【Key Words】Lumbar disc herniation； CT； MRI

腰椎间盘突出发病人群在临床上日趋年轻化，文献报道，20岁后腰椎间盘开始出现退行性变，从事重体力劳动的人群，容易因高强度活动或外伤等原因导致患者腰部损伤，腰椎间盘因承受强大的力量而导致内侧纤维环出现破裂，常常导致患者出现下肢疼痛、麻木，腰部疼痛僵硬，转侧不利，下肢活动受限等临床症状，甚至严重影响患者的学习和生活。（剩余4600字）