双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的效果

刘君正+++王楷+++朱海龙+++周祖德+++朱建桂

[摘要]目的 探讨双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的效果。方法 选取2014年3月～2016年3月我院收治的86例腰椎间盘突出症患者，均采用双排螺旋CT检查和X线平片检查，比较两种检查方式的单一诊断价值和聯合诊断价值，总结腰椎间盘突出症的影像学表现。结果 CT检查可知，12例为腰间盘L3～4，46例为腰间盘L4～5，28例为腰间盘L5～S1；与手术证实结果比较，CT诊断为极外侧型、椎间孔型、旁侧型以及中央型的诊断符合率分别为85.7%、88.9%、96.6%、100.0%；X线检查可知，7例为腰间盘L3～4，19例为腰间盘L4～5，11例为腰间盘L5～S1；与术后结果比较，双排螺旋CT联合X线平片检查的诊断符合率为100.0%，CT检查为96.5%，X线平片检查为43.0%，联合检查的诊断符合率显著高于单一CT检查和X线平片检查，差异有统计学意义（P<0.05）。结论 双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的诊断准确率明显高于单一诊断准确率，具有较高的临床应用价值。

[关键词]腰椎间盘突出症；双排螺旋CT；X线平片检查；诊断价值

[中图分类号] R681.5+7 [文献标识码] A [文章编号] 1674-4721（2017）02（c）-0074-03

Effect of double-slice spiral CT combined with X-ray plain film in the diagnosis of lumbar disc herniation

LIU Jun-zheng WANG Kai ZHU Hai-long ZHOU Zu-de ZHU Jian-gui

Department of Radiology，Anfu County Hospital of Traditional Chinese Medicine in Jiangxi Province，Anfu 343200，China

[Abstract]Objective To explore the effect of double-slice spiral CT combined with X-ray plain film in the diagnosis of lumbar disc herniation.Methods 86 cases of patients with lumbar disc herniation in our hospital from March 2014 to March 2016 were selected，who were used double-row spiral CT examination and X-ray examination.The diagnostic value of single diagnosis and combined diagnosis of the two examinations were compared，and the imaging features of lumbar disc herniation were summarized.Results CT examination showed that there were 12 cases of lumbar disc L3-4，46 cases of lumbar disc L4-5 and 28 cases of lumbar disc L5-S1.Compared with the results of surgery，the coincidence rates of CT diagnosed as extralateral lumbar，pass，lateral and central type were 85.7%，88.9%，96.6%，100.0% respectively.X-ray examination showed that there were 7 cases of lumbar disc L3-4，19 cases of lumbar disc L4-5 and 11 cases of lumbar disc L5-S1.Compared with the postoperative results，the coincidence rate of double-slice spiral CT and X-ray plain film examination was 100.0%，96.5% for CT examination and 43.0% for X-ray film examination，of which the combined diagnosis was obviously higher than those of single CT and X-ray plain film，with significant difference （P<0.05）.Conclusion The diagnostic accuracy of double-slice spiral CT combined with X-ray plain film in the diagnosis of lumbar disc herniation is significantly higher than those of the single diagnostic accuracy，with higher clinical application value.

[Key words]Lumbar disc herniation；Double-slice spiral CT；X-ray examination；Diagnostic value椎间盘突出症属于退行性病变，多由外伤所致，临床症状主要表现为腰腿痛，给患者的日常生活带来了极大不便[1-2]。本病的临床诊断需要在观察患者临床症状和体征的基础上，结合影像学技术例如CT、X线等完成[3]。为了解双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的效果，本研究选择本院的腰椎间盘突出症患者作为研究对象，均采用双排螺旋CT检查和X线平片检查，比较两种检查方式的单一诊断价值和联合诊断价值，总结腰椎间盘突出症的影像学表现，以期为腰椎间盘突出症的临床诊断提供参考和依据，现报道如下。……