袁增清

[摘要] 目的 分析CT及MR诊断腰椎间盘突出症的临床价值。 方法 随机选择该院2012年5月—2014年9月收治的50例腰椎间盘突出症患者作为观察对象，对50例腰椎间盘突出症患者采用CT及MR检查，CT检查结果作为对照组数据，MR检查结果作为实验组数据，以临床病理检验结果作为金标准，该研究所选患者均为临床病理诊断确诊患者，对比两种检查方式对于诊断腰椎间盘突出症的价值。 结果 对照组诊断准确率为84.00%，椎间盘突出患者38例，椎间盘脱出4例；实验组诊断准确率为96.00%，椎间盘突出患者42例，椎间盘脱出6例；组间诊断准确率差异有统计学意义（P<0.05）。 结论 针对腰椎间盘突出症患者采用MR检查的诊断价值高于CT检查的诊断价值，MR检查应作为诊断腰椎间盘突出症的首选方式。

[关键词] 腰椎间盘突出症；CT；MR；诊断价值

[中图分类号] R681.57 [文献标识码] A [文章编号] 1674-0742（2016）02（b）-0194-02

[Abstract] Objective To analyze the clinical value of CT and MR in diagnosis of lumbar disc herniation. Methods 50 cases of patients with lumbar disc herniation confirmed by clinical pathological diagnosis in our hospital from May 2012 to September 2014 were selected and examined by CT and MR， the CT examination results were regarded as the data of the control group， the MR examination results were regarded as the data of the experimental group， the value of two examination methods in diagnosis of lumbar disc herniation was compared according to the clinical pathological examination results. Results In the control group， the diagnostic accurate rate was 84.00%， 38 cases were with herniated disk， 4 cases were with herniated disc； in the experimental group， the diagnostic accurate rate was 96.00%， 42 cases were with herniated disk， 6 cases were with herniated disc， the difference in the diagnostic accurate rate between the two groups was obvious with statistically significance（P<0.05）. Conclusion The diagnostic value of MR examination for patients with lumbar disc herniation is higher than that of CT examination， which can be used as the preferred method for the diagnosis of lumbar disc herniation.

[Key words] Lumbar disc herniation； CT；MR； Diagnostic value

腰椎间盘突出症是指由于腰椎间盘髓核突出压迫了周围神经组织引起的一系列症状，发生原因主要与外力作用、腰椎间盘退行性变化及椎间盘自身解剖因素的弱点等因素有关[1]，临床症状主要表现为腰痛、步态不稳、下肢麻木、腰部钝痛等 [2]。早期诊断及早期治疗对于腰椎间盘突出症患者有着积极意义。该院为了比较CT及MR诊断腰椎间盘突出症的临床价值，对2012年5月—2014年9月该院收治的50例腰椎间盘突出症患者采用CT及MR进行诊断，现报道如下。

1 资料与方法

1.1 一般资料

随机选择该院收治的50例腰椎间盘突出症患者作为该观察对象，收治时间为2012年5月—2014年9月，50例腰椎间盘突出症患者中，男性患者为28例，女性为22例，年龄均介于25～70岁之间，年龄均值为（47.50±5.74）岁，病程1～28年，平均病程为（14.50±3.62）年。……