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目的:分析腰椎退行性骨关节病应用X线、计算机断层扫描(CT)诊断的临床价值。方法:抽选本院于2013年1月至2015年6月期间收治的腰椎退行性骨关节病患者200例,分别进行X线扫描检查和CT扫描检查,观察诊断结果,分析平片特征和影像学特征。结果:X线检出病变168例(84.0%),CT检出184例(92.0%),差异具有统计学意义(P<0.05)。X线检出以椎间隙改变(92.9%)、骨赘形成/椎体角边缘弯曲(88.1%)居多;CT检出病变类型以椎间盘膨出为主(59.6%),病变部位以L4~5为主(70.0%)。结论:对于腰椎退行性骨关节病而言,X线诊断、CT诊断均有较高的临床价值,其中后者检出率高、能够明确病变类型和部位。
Objective: To analyze the clinical value of X-ray and computed tomography (CT) diagnosis of lumbar degenerative joint disease. Methods: Two hundred patients with degenerative lumbar degenerative joint disease who were treated in our hospital from January 2013 to June 2015 were selected for X-ray and CT scan respectively. The diagnostic results were observed and the features and images of the plain film were analyzed Learn characteristics. Results: 168 cases (84.0%) were detected by X-ray and 184 cases (92.0%) were detected by CT, the difference was statistically significant (P <0.05). X-ray examination showed that the majority of the lesions were disc herniation (92.9%), osteophyte formation / curvature of the edge of the vertebral body (88.1%). The main lesion types were disc herniation (59.6% Mainly (70.0%). Conclusion: For lumbar degenerative joint disease, X-ray diagnosis and CT diagnosis have high clinical value, of which the latter detection rate is high, to identify the type and location of the lesion.