摘要
目的探讨X线检查与CT检查对腰椎间盘突出症(LDH)的诊断价值。方法选取2023年1月至12月于我院接受诊治的80例疑似LDH患者作为研究对象。分别进行X线检查和CT检查。以MRI结果为金标准,比较两种方法的诊断价值。结果CT检查诊断LDH的准确率为97.50%,高于X线检查的82.50%(P<0.05)。CT检查对L5~S1节段的显示率高于X线检查(P<0.05)。CT检查的黄韧带肥厚、硬膜囊受压、神经根受压显示率高于X线检查(P<0.05);两种检查方法的腰椎骨质增生显示率比较,差异无统计学意义(P>0.05)。CT检查在中年组中的诊断准确率高于X线检查(P<0.05)。结论CT检查在LDH诊断中的准确率高于X线检查,尤其在显示L5~S1节段突出及黄韧带肥厚、神经根受压等间接征象方面优势明显。
Objective To explore the diagnostic value of X-ray examination and CT examination in lumbar disc herniation(LDH).Methods A total of 80 patients with suspected LDH who were diagnosed and treated in our hospital from January to December 2023 were selected as the study objects.X-ray examination and CT examination were performed respectively.MRI results were used as the gold standard to compare the diagnostic value of the two methods.Results The accuracy of CT examination in the diagnosis of LDH was 97.50%,which was higher than 82.50%of X-ray examination(P<0.05).The display rate of L5-S1 segment by CT examination was higher than that by X-ray examination(P<0.05).The display rate of ligamentum flavum hypertrophy,dural sac compression and nerve root compression in CT examination were higher than those in X-ray examination(P<0.05);there was no significant difference in the display rate of lumbar bone hyperplasia between the two methods(P>0.05).The diagnostic accuracy of CT examination in the middle-aged group was higher than that of X-ray examination(P<0.05).Conclusion The accuracy of CT examination in the diagnosis of LDH was higher than that of X-ray examination,especially in the display of L5-S1 segment protrusion and ligamentum flavum hypertrophy,nerve root compression and other indirect signs.
作者
胡为松
HU Weisong(Traditional Chinese Medicine Hospital of Pingli County,Ankang 725500,China)
出处
《临床医学研究与实践》
2025年第25期130-133,共4页
Clinical Research and Practice
关键词
腰椎间盘突出症
X线检查
CT检查
lumbar disc herniation
X-ray examination
CT examination
