论文部分内容阅读
目的对使用MRI对骶骨骨折合并骶神经损伤的诊断效果与临床意义进行分析。方法在我院2016年1月至12月所收治的骶骨骨折合并骶神经损伤患者中任选56例,治疗期间分别给予MRI检测与CT检测,将各项检测结果与手术结果进行比较。结果在本次检测中,MRI检测中STIR显示本组患者中存在有神经根受推压移位10例,神经根中断18例,骨折处液体量增加12例,神经根水肿增粗10例以及骨折周围血肿6例。在影像质量上比较可以发现,STIR与IDEAl在神经根损伤检测上无明显差异,P>0.05不具备统计学意义。而影像质量明显优于FS序列,P<0.05具备统计学意义。与手术治疗结果对比可知,CT诊断符合率为80.36%(45/56),MRI检测符合率为94.64%(53/56),MRI检测符合率明显高于CT检测,P<0.05差异具备统计学意义。结论采用MRI对骶骨骨折合并骶神经损伤进行诊断,可有效确保临床对该类患者诊断准确率,可帮助患者迅速确诊。
Objective To analyze the diagnostic value and clinical significance of MRI in sacral nerve injury caused by sacral fracture. Methods 56 cases of sacral fracture with sacral nerve injury were treated in our hospital from January to December, 2016. MRI and CT were performed respectively during the treatment. The results of the tests were compared with the surgical results. Results In this test, STIR in MRI showed that there were 10 cases of nerve root compression and displacement, 18 cases of nerve root interruption, 12 cases of fracture fluid volume increase, 10 cases of nerve root edema and 10 cases of nerve root enlargement 6 cases of fracture around the hematoma. In the image quality comparison can be found, STIR and IDEAl in the detection of nerve root injury no significant difference, P> 0.05 does not have statistical significance. The image quality was significantly better than the FS sequence, P <0.05 with statistical significance. Compared with the results of surgery, CT coincidence rate was 80.36% (45/56), MRI coincidence rate was 94.64% (53/56), MRI coincidence rate was significantly higher than the CT test, P <0.05 difference with statistics significance. Conclusion The MRI diagnosis of sacral fracture combined with sacral nerve injury can effectively ensure the accuracy of clinical diagnosis of such patients and can help patients to diagnose quickly.