摘要
目的 分析椎管造影作为经皮穿刺腰椎间盘切吸术 (PLD)术前检查的价值并探讨选择造影的标准。材料与方法 腰椎间盘突出症 5 6例 ,治疗前均行CT扫描和椎管造影检查。结果 5 6例中 ,CT扫描 5 2例为阳性。椎管造影 3例漏诊 ,均发生在L5~S1平面 ,同时发现 3例纤维环破裂髓核突入椎管内 ,2例合并恶性肿瘤和 1例合并蛛网膜粘连。这 6例均为外科手术所证实。 5 0例行PLD治疗 ,疗效满意。结论 椎管造影在腰椎间盘突出的诊断和PLD治疗适应证选择中 。
Objective To evaluate the spinal canal myelography in diagnosing prolapse of intervertebral disc (PID) and in percutaneous lumbar discectomy (PLD) treatment.Materials and Methods CT scan and myelography before PLD were performed in 56 cases with PID.Results Of 56 cases, 4 were normal, 3 had broken fibrous ring with nucleus polposus protruding into spinal canal, 2 were complicated by malignant tumor and 1 arachnoid adhesion.Conclusion Spinal canal myelography is a valuable study for the diagnosis of PID and for the selection of suitable cases to treat with PLD.
出处
《临床放射学杂志》
CSCD
北大核心
2000年第9期582-584,共3页
Journal of Clinical Radiology
关键词
椎管造影
椎间盘突出症
诊断
腰椎间盘切吸术
Spinal canal myelography Prolapsed intervertebral disc Percutaneous lumbar discectomy