[1]王少纯,张国庆.磁共振脊髓水成像技术在腰椎椎管狭窄症诊断中的应用价值[J].中医正骨,2019,31(09):30-32.
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磁共振脊髓水成像技术在腰椎椎管狭窄症诊断中的应用价值()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年09期
页码:
30-32
栏目:
影像诊断
出版日期:
2019-09-20

文章信息/Info

作者:
王少纯张国庆
(河南省洛阳正骨医院/河南省骨科医院,河南 洛阳 471002)
关键词:
椎管狭窄 腰椎 磁共振成像 脊髓造影术
摘要:
目的:探讨磁共振脊髓水成像(magnetic resonance myelography,MRM)技术在腰椎椎管狭窄症(lumbar spinal stenosis,LSS)诊断中的应用价值。方法:以拟行手术探查的60例疑似LSS患者为研究对象。术前均应用MRM技术进行检查,采用Nitz评估标准评价MRM成像质量,以手术探查结果为金标准,计算MRM诊断LSS的敏感度、特异度和准确度。结果:60例疑似LSS患者MRM硬脊膜成像质量评分平均2.78分、神经根袖成像质量评分平均2.82分。MRM检查结果显示,L3~4中央椎管狭窄42例,敏感度97.62%、特异度66.67%、准确度95.56%; L4~5中央椎管狭窄56例,敏感度98.18%、特异度60.00%、准确度95.00%; L5S1中央椎管狭窄52例,敏感度92.00%、特异度33.33%、准确度83.05%。L3~4侧方椎管狭窄35例,敏感度97.14%、特异度75.00%、准确度94.87%; L4~5侧方椎管狭窄56例,敏感度98.18%、特异度50.00%、准确度94.92%; L5S1侧方椎管狭窄55例,敏感度96.43%、特异度75.00%、准确度95.00%; S1~2侧方椎管狭窄15例,敏感度93.75%、特异度100.00%、准确度94.12%。结论:MRM能清晰显示硬脊膜囊和神经根袖等结构,诊断LSS的准确度高,是针对该病的一种较为可靠的影像筛查方式。

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备注/Memo

备注/Memo:
(收稿日期:2019-07-31 本文编辑:李晓乐)
更新日期/Last Update: 2019-09-15