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目的 :探讨多层螺旋CT在脊柱结核诊断中的应用价值。方法 :选取2015年1月至2016年1月在我院经手术病理或临床随访证实为脊柱结核的患者30例作为临床研究对象。30例患者先后采用多层螺旋CT、X线平片检查进行诊断,对患者的多层螺旋CT、X线平片检查资料进行回顾性分析。比较两种检查方式的诊断准确率。结果 :经比较,多层螺旋CT检查对脊柱结核各征象的显示准确率明显高于X线平片检查,比较结果具有明显差异性(P<0.05)。多层螺旋CT检查对脊柱结核病变的敏感性明显高于X线平片检查,比较结果具有明显差异性(P<0.05)。结论 :多层螺旋CT对脊柱结核的诊断准确率较高,值得推广使用。
Objective: To investigate the value of multi-slice spiral CT in the diagnosis of spinal tuberculosis. Methods: From January 2015 to January 2016 in our hospital by pathology or clinical follow-up confirmed 30 cases of spinal tuberculosis as a clinical study object. Thirty patients were diagnosed by multi-slice spiral CT and X-ray plain film, and the data of multi-slice spiral CT and X-ray examination were retrospectively analyzed. Compare the diagnostic accuracy of the two test methods. Results: Compared with plain radiography, the accuracy of multi-slice spiral CT in the diagnosis of spinal tuberculosis was significantly higher than that of plain radiography. The difference was significant (P <0.05). The sensitivity of MSCT to spinal tuberculosis was significantly higher than that of X-ray plain film, and the difference was significant (P <0.05). Conclusion: The multi-slice spiral CT has a high diagnostic accuracy for spinal tuberculosis and should be widely used.