CT检查及图像后处理对腰椎间盘突出症的诊断价值和射频消融治疗的定位意义

doi:10.7517/issn.1674-0475.201226

摘要/Abstract

摘要： 本文探讨CT在腰椎间盘突出症中的诊断价值和射频消融治疗的定位意义。选取腰椎间盘突出症患者103例，给予CT检查和CT引导下射频消融治疗。结果显示，CT检查诊断腰椎间盘突出症准确率为90.29%；重度患者突出物呈山丘状、神经根受压或粘连比例明显高于轻中度患者（P<0.05），重度患者椎管矢状径和硬膜囊前后径小于轻中度患者（P<0.05）；椎管矢状径、硬膜囊前后径预测重度患者的ROC曲线下面积分别为0.866和0.848（P<0.05）；疗效优良患者突出物呈山丘状、神经根受压或粘连比例明显低于非优良患者（P<0.05），椎管矢状径和硬膜囊前后径大于非优良患者（P<0.05）。CT在腰椎间盘突出症诊断中有较高价值，CT引导下射频消融治疗效果好。

关键词: CT, 腰椎间盘突出症, 诊断价值, 射频消融, 临床意义

Abstract: The purpose of this study was to explore the diagnostic value of CT in lumbar disc herniation and the positioning significance of radiofrequency ablation. 103 patients with lumbar disc herniation were selected and given CT examination and CT-guided radiofrequency ablation. The experimental results showed that the accuracy rate of CT examination in the diagnosis of lumbar disc herniation was 90.29%.The proportion of hill-shaped protrusion, nerve root compression or adhesion in severe patients were higher than those in mild to moderate patients (P<0.05), the sagittal diameter and anterior-posterior diameter of dural sac were lower than that of mild to moderate patients (P<0.05).The areas under ROC curve predicted by sagittal diameter and anterior-posterior diameter of dural sac in severe patients were 0.866 and 0.848, respectively (P<0.05). The proportion of hill-shaped protrusion, nerve root compression or adhesion in patients with excellent curative effect were lower than those in patients with non-excellent curative effect (P<0.05), the sagittal diameter and anterior-posterior diameter of dural sac were higher than that of non-excellent patients (P<0.05). This study confirmed that CT has a high value in the diagnosis of lumbar disc herniation, and the effect of CT-guided radiofrequency ablation is good.

Key words: CT, lumbar disc herniation, diagnostic value, radio frequency ablation, clinical significance

钱向辉, 王波. CT检查及图像后处理对腰椎间盘突出症的诊断价值和射频消融治疗的定位意义[J]. 影像科学与光化学, 2021, 39(5): 760-763.

QIAN Xianghui, WANG Bo. Diagnostic Value of CT Examination and Image Post-processing in Lumbar Disc Herniation and Localization Significance of Radiofrequency Ablation[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(5): 760-763.

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