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磁共振成像(MRI)在脊柱骨折良恶性鉴别诊断中的临床价值

The Clinical Value of Magnetic Resonance Imaging(MRI)in the Differential Diagnosis of Benign and Malignant Spinal Fractures
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摘要 目的:探讨磁共振成像(MRI)在脊柱骨折良恶性鉴别诊断中的临床价值。方法:选取2023年1月~2024年1月本院收治的72例脊柱骨折患者,分别进行计算机体层成像(CT)、MRI平扫及MRI常规增强扫描检查,对比分析诊断结果。结果:在灵敏度、特异度等五项诊断效能指标方面,MRI常规增强扫描的诊断效能显著优于MRI平扫和CT(P<0.05),而MRI平扫又优于CT。MRI平扫及常规增强扫描与病理诊断结果具有高度一致性,CT与病理诊断结果则呈中度一致性。结论:在脊柱骨折良恶性诊断中,MRI尤其是MRI常规增强扫描具有较高的诊断价值。 Objective:To explore the clinical value of magnetic resonance imaging(MRI)in the differential diagnosis of benign and malignant spinal fractures.Methods:72 patients with spinal fractures in the hospital from January 2023 to January 2024 were selected and underwent computed tomography(CT)examination,MRI plain scan,and MRI routine enhanced scan.The diagnostic results were compared.Results:In terms of sensitivity,specificity,and other five indicators during diagnosis,routine enhanced MRI scans were higher than MRI plain scans and CT scans,and MRI plain scans were higher than CT scans,with P<0.05.The consistency between MRI plain scans,routine enhanced MRI scans,and pathological diagnosis results was high,while the consistency between CT and pathological diagnosis results was moderate.Conclusion:MRI,especially routine contrast-enhanced MRI,has good diagnostic value in the benign and malignant diagnosis of spinal fractures.
作者 王怡诗 彭伟生 刘娜红 郑一玲 WANG Yi-shi;PENG Wei-sheng;LIU Na-hong;ZHENG Yi-ling(The 910th Hospital of the Joint Logistics Support Force,Fujian Quanzhou 362000)
机构地区 联勤保障部队第
出处 《中国医疗器械信息》 2025年第19期84-86,共3页 China Medical Device Information
关键词 脊柱骨折 计算机体层成像 磁共振成像 spinal fracture computed tomography magnetic resonance imaging
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