The value of CT in the diagnosis of cervical spondylotic radiculopathy
CT 在神经根型颈椎病诊断中的价值

摘要

目的 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 December 2021 were the subjects of this study. All the subjects were examined by CT scanning, and the diagnostic accuracy and detection results were statistically analyzed.
Results (1) There was no significant difference between the detection rate of CT scanning and the gold standard in all subjects (P>0.05); (2) The CT scanning results of all subjects showed that only 4 patients had no obvious stenosis of intervertebral foramen. The other 44 patients found intervertebral foramen stenosis in different positions and degrees, and 61 narrow foramen were found, including 1 C2-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 high diagnostic efficiency, and can clearly show the specific shape of the intervertebral foramen and the anatomical relationship with the adjacent tissue structure of the patient, so as to provide important imaging data and basis for the diagnosis of the disease of the patient.