现代仪器与医疗

MSCT对低位腰椎间盘突出病变的检出效果研究

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汪海兵

现代仪器与医疗 | 临床研究 2025,31(5): 75-78

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现代仪器与医疗 |临床研究 2025 , 31 (5) : 75 -78

MSCT对低位腰椎间盘突出病变的检出效果研究

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汪海兵

作者信息

江苏盐城建湖县第三人民医院影像科，盐城　224700

作者简介:

汪海兵，男，本科，主管技师，研究方向：从事数字X线摄影和计算机断层扫描相关工作

Study on the detection effect of MSCT on low lumbar disc herniation lesions

Haibing Wang

Affiliations

Department of Imaging, Jianhu County Third People's Hospital, Yancheng 224700, China

出版时间: 2025-10-10 doi: 10.11876/mimt202505012

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摘要

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目的

分析多层螺旋CT（multislieces helieal CT，MSCT）对于低位腰椎间盘突出在椎间盘变形、脊髓变性、硬膜囊受压等影像学特征的检出效果。

方法

选取2022年3月至2024年3月期间本院收治的经病理分析确诊为低位腰椎间盘突出症的66例患者作为研究对象，均实施X线片和MSCT检查，分析检出情况和影像学特征。

结果

MSCT检查的检出率（98.48%）高于X线片（87.88%），差异有统计学意义（P<0.05）；在影像学特征检查中，MSCT检查对椎间盘变形（96.88%）、脊髓变性（93.02%）、神经根受压（92.11%）、硬膜囊受压（97.78%）、钙化（98.08%）、积气（97.83%）等特征的检出率均高于X线片（78.13%、4.65%、2.63%、64.44%、67.31%、45.65%），差异有统计学意义（P<0.05）；在MSCT影像学参数对低位腰椎间盘突出症不同退行病变程度的预测中，中度组和重度组的矢状面屈曲角为（162.39±5.51）°、（171.83±8.78）°，高于轻度组的（153.02±5.03）°，中度组和重度组的硬膜囊矢状径为（10.97±0.84）mm、（7.52±0.52）mm，低于轻度组的（15.83±1.06）mm，中度组和重度组的终板屈曲深度为（1.96±0.11）mm、（1.42±0.06）mm，低于轻度组的（2.49±0.14）mm，差异有统计学意义（P<0.05）。

结论

MSCT技术在诊断低位腰椎间盘突出症中可提供较准确的影像学特征，可为医师评估该病的病变程度提供相关参考依据。

关键词

多层螺旋CT / 低位腰椎间盘突出症 / 脊髓变性 / 椎间盘变形

Abstract

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Objective

To analyze the detection effect of multislieces helieal CT (MSCT) on the imaging features of low lumbar disc herniation, including disc deformity, spinal cord degeneration, and dural sac compression.

Methods

A total of 66 patients with low lumbar disc herniation confirmed by pathological analysis in our hospital from March 2022 to March 2024 were selected as the research subjects. All patients underwent X-ray and MSCT examinations to analyze the detection situation and imaging features.

Results

The detection rate of MSCT (98.48%) was higher than that of X-ray (87.88%), with a statistically significant difference (P<0.05). In the imaging feature examination, the detection rates of MSCT for disc deformity (96.88%), spinal cord degeneration (93.02%), nerve root compression (92.11%), dural sac compression (97.78%), calcification (98.08%), and gas accumulation (97.83%) were higher than those of X-ray (78.13%, 4.65%, 2.63%, 64.44%, 67.31%, 45.65%), with statistically significant differences (P<0.05). In the prediction of different degrees of degenerative changes in low lumbar disc herniation by MSCT imaging parameters, the sagittal flexion angles of the moderate and severe groups were (162.39±5.51)° and (171.83±8.78)°, respectively, which were higher than that of the mild group [(153.02±5.03)°]. The sagittal diameters of the dural sac of the moderate and severe groups were (10.97±0.84) and (7.52±0.52) mm, respectively, which were lower than that of the mild group [(15.83±1.06) mm], and the endplate flexion depths of the moderate and severe groups were (1.96±0.11) and (1.42±0.06) mm, respectively, which were lower than that of the mild group [(2.49±0.14) mm], with statistically significant differences (P<0.05).

Conclusion

MSCT technology can provide more accurate imaging features in the diagnosis of low lumbar disc herniation and can provide relevant reference basis for physicians to assess the degree of the disease.

Key words

Multislieces helieal CT / Low lumbar disc herniation / Spinal cord degeneration / Disc deformity

引用本文

汪海兵. MSCT对低位腰椎间盘突出病变的检出效果研究. 现代仪器与医疗, 2025 , 31 (5) : 75 -78 . DOI: 10.11876/mimt202505012

Haibing Wang. Study on the detection effect of MSCT on low lumbar disc herniation lesions[J]. Modern Instruments & Medical Treatment, 2025 , 31 (5) : 75 -78 . DOI: 10.11876/mimt202505012

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2025年第31卷第5期

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doi: 10.11876/mimt202505012

首发时间：2026-10-23
出版时间：2025-10-10

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江苏盐城建湖县第三人民医院影像科，盐城　224700

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2种不同金属材料的力学参数

科 Family	属数 Number of genus	种数 Number of species	占总种数比例 Percentage of total species (%)	属 Genus	种数 Number of species	占总种数比例 Percentage of total species (%)
鹅膏菌科Amanitaceae	2	11	5.26	鹅膏菌属 Amanita	10	4.78
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红菇科 Russulaceae	3	23	11.00	小皮伞属 Marasmius	6	2.87
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