摘要
目的:对X线、CT检查在脊柱侧弯中的诊断价值的比较分析。方法:选取2013年1月—2017年1月于延安市人民医院收治的50例先天性脊柱侧弯畸形患儿为研究对象,均行X线、CT检查,将X线检查结果设为X线组,CT检查结果设为CT组。结果:两组分割不全畸形和肋骨合并畸形侧弯Cobb角无明显差异(P>0.05),X线组半椎体畸形、单一畸形、脊柱开裂、裂椎侧弯Cobb角大于CT组,差异有统计学意义(P<0.05);CT组检出病变总数明显高于X线组,差异有统计学意义(P<0.001);X线组侧弯、椎体显示满意度低于CT组,差异有统计学意义(P<0.05)。结论:测量脊柱侧弯Cobb角X线检查优于CT,而CT检查能更清晰显示脊柱侧弯的整体和细微结构,故应根据临床实际情况合理选择影像学检查方法。
Objective： To discuss the comparison of X-ray, CT scan on diagnostic value of scoliosis. Methods： Fifty cases of adolescent congenital spinal deformity were selected from January 2013 to January 2017 in our Hospitals and underwent X, CT radiography. X-rays results were assigned as X-rays group, CT results were assigned as CT group. Results： Scoliosis Cobb angle of split incomplete deformity patients and rib malfbrmations of two groups had no significant difference （P〉0.05）. Scoliosis Cobb angle of single deformity, ribs combined deformities and crack vertebral checkpoints of X-rays group was significantly higher than the CT group, there was statistically significant difference （P〈0.05）. Total number of detected lesions of CT group was significantly higher than the X-rays group, there was statistically significant difference （P〈0.001）. Lateral view, end vertebra show satisfaction of X-rays group was significantly lower than the CT group, there was statistically significant difference （P〈0.05）. Conclusion： For Cobb angle measurement in scoliosis, X-rays is significantly better than CT, CT examination can be more clear display overall scoliosis and microscopic structures, should be according to the actual clinical situation to choose the imaging examination method.
出处
《中国数字医学》
2018年第1期55-57,共3页
China Digital Medicine
