CT 在神经根型颈椎病诊断中的价值

The value of CT in the diagnosis of cervical spondylotic radiculopathy

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DOI 10.12208/j.jmnm.202200593
刊名
Journal of Modern Nursing MedicineJPCNS
年,卷(期) 2022, 1(10)
作者
作者单位

临沧市中医医院 云南临沧 ;

摘要
分析 CT 在神经根型颈椎病诊断中的价值。方法 以我院 2021 年 1 月至 12 月收治的 48例神经根型颈椎病患者为本次研究对象,所有研究对象均行 CT 扫描检查,统计分析诊断准确率及检测结果。结果 (1)所有研究对象的 CT 扫描诊断检出率与金标准对比无统计学差异(P>0.05);(2)所有研究对象的 CT 扫描结果显示,仅有 4 例患者的椎间孔无明显狭窄存在,其余 44 例患者均发现不同位置、程度的椎间孔狭窄,且共发现 61 个狭窄椎间孔,其中 C2-C3 共 1 个(占 1.64%),C3~C4 共 2 个(占 3.28%),C4~C5共 13 个(占 21.31%),C5~C6 共 25 个(占 40.98%)、C6~C7 共 18 个(占 29.51%),C7~T1 共 1 个(占 1.64%)。结论 在神经根型颈椎病诊断中,CT 扫描检查,可取得较高的诊断效能,且能清晰展现出患者椎间孔具体形状和与邻近组织结构的解剖关系,以此为患者的疾病诊断提供重要影像学资料和依据。
Abstract
Objective To analyze the value of CT in the diagnosis of cervical spondylotic radiculopathy.Methods 48 patients with cervical spondylotic radiculopathy admitted to our hospital from January to December2021 were the subjects of this study. All the subjects were examined by CT scanning, and the diagnostic accuracyand detection results were statistically analyzed. Results (1) There was no significant difference between thedetection rate of CT scanning and the gold standard in all subjects (P>0.05); (2) The CT scanning results of allsubjects showed that only 4 patients had no obvious stenosis of intervertebral foramen. The other 44 patients foundintervertebral foramen stenosis in different positions and degrees, and 61 narrow foramen were found, including 1C2-C3 (1.64%), 2 C3-C4 (3.28%), 13 C4-C5 (21.31%), 25 C5-C6 (40.98%), 18 C6-C7 (29.51%), and 1 C7-T1(1.64%). Conclusion In the diagnosis of cervical spondylosis of nerve root type, CT scanning can achieve highdiagnostic efficiency, and can clearly show the specific shape of the intervertebral foramen and the anatomicalrelationship with the adjacent tissue structure of the patient, so as to provide important imaging data and basis forthe diagnosis of the disease of the patient.
关键词
神经根型颈椎病;CT 扫描检查;诊断效能;解剖结构分析
KeyWord
Cervical spondylosis of nerve root type; CT scanning; Diagnostic effectiveness; Anatomicalstructure analysis
基金项目
页码 1-3
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蔡鹏*,俸凌曦,张剑晖. CT 在神经根型颈椎病诊断中的价值 [J]. 现代护理医学杂志. 2022; 1; (10). 1 - 3.

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