多层螺旋CT三维重建在脊椎骨折诊断中的应用价值

doi:10.7517/issn.1674-0475.190813

摘要/Abstract

摘要： 为分析多层螺旋电子计算机断层扫描（computed tomography，CT）三维重建在脊椎骨折诊断中的应用价值，本研究选取2017年1月~2018年10月期间于我院就诊的70例脊椎骨折患者，在征得患者知情同意下分别实施X线检查及多层螺旋CT三维重建，以手术结果为参照，对比两种诊断方式所得结果的差异。结果发现，X线检查骨折的部位诊断符合率、类型诊断符合率、合并椎管狭窄诊断符合率均低于多层螺旋CT三维重建，差异有统计学意义（P<0.05）；两种诊断方式的敏感度、特异度、准确度相比较，多层螺旋CT三维重建均高于X线检查，差异有统计学意义（P<0.05）。据此可知，对脊椎骨折进行临床诊断时，多层螺旋CT三维重建能够准确揭示骨折部位及骨折类型，且敏感度、特异度、准确度水平均较高，值得在今后临床工作中推广使用。

关键词: 脊椎骨折, X线, 电子计算机断层扫描, 骨折部位, 骨折类型

Abstract: The application value of multi-slice computed tomography (CT) three-dimensional reconstruction in the diagnosis of spinal fractures is analyzed in this study. 70 patients with spinal fractures who sought medical care in our hospital from January 2017 to October 2018 were enrolled. X-ray examination and multi-slice spiral CT three-dimensional reconstruction were performed with informed consent. The results of the operation were the diagnostic criteria, and the difference between the two diagnostic methods were compared. The diagnostic coincidence rates of X-ray on the fracture site, the fracture type, and the spinal canal stenosis were lower than those of the multi-slice spiral CT. The difference was statistically significant (P<0.05). The sensitivity, specificity and accuracy of the three-dimensional reconstruction of multi-slice spiral CT was higher than that of X-ray examination, and the difference was statistically significant (P<0.05). According to this, in the clinical diagnosis of spinal fractures, multi-slice spiral CT three-dimensional reconstruction can accurately reveal the fracture site and fracture type, and the sensitivity, specificity and accuracy are at a high level, which is worthy of popularization in future clinical work.

Key words: vertebral fracture, X-ray, computed tomography, fracture site, fracture type

中图分类号:

成艳平, 赵虎. 多层螺旋CT三维重建在脊椎骨折诊断中的应用价值[J]. 影像科学与光化学, 2020, 38(2): 200-205.

CHENG Yanping, ZHAO Hu. Application Value of Multi-slice Spiral CT Three-dimensional Reconstruction in the Diagnosis of Spinal Fracture[J]. Imaging Science and Photochemistry, 2020, 38(2): 200-205.

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