摘要
目的探讨X射线、CT及磁共振成像(MR I)对椎间盘炎的诊断价值。方法对经临床或手术病理证实的11例椎间盘炎患者的X射线平片、椎间盘CT平扫及MR扫描结果进行对比分析。结果11例患者中有16个椎间盘炎;11例患者的X射线平片检查结果均为阴性,检出率为0;CT扫描结果,11例患者中有7例为原有疾病(腰椎间盘膨出/突出症)术后表现,未能直接诊断椎间盘感染,4例经CT扫描后直接诊断为椎间盘感染,检出率为36.36%;MR检查,16个椎间盘均有不同程度肿胀、破坏、碎裂、信号改变,相邻椎旁软组织均表现不同程度受累,检出率为100%。结论MR I对椎间盘炎的检出率较X射线平片和CT高,能较好地反映椎间盘病变情况,对椎间盘炎病因、病变部位的诊断具有较好的临床应用价值,可列为首选检查。
Objective To evaluate the clinical value of X-ray,CT and Magnet resonance imaging（MRI） on the diagnosis of Discitis.Methods The X-ray,CT and MRI of 11cases of Discitis proved by operation and pathology were compared.Results In the 11cases with Discitis,diseases in no case was detected by X-ray and the detection rate was 0%.4 cases were detected by CT scan and the detection rate was 36.36%.All cases were detected by MRI with the detection rate of 100%.Conclusions MRI showed a higher detection rate to Discitis than X-ray and CT and confirmedt its important clinical values.
出处
《实用医院临床杂志》
2009年第3期70-71,共2页
Practical Journal of Clinical Medicine
