慢性腰背痛影像学分析

Imaging analysis of chronic lumbar spine and back pain

目的分析慢性腰背痛患者,通过影像学检查对某些患者作出定性诊断。方法所有病例均拍腰椎正侧、双斜位片。疑椎间盘病变者作CT或/和 Mm检查。结果腰椎退行性骨关节病76例,腰椎间盘突出症16例,椎弓峡部崩裂和脊柱滑脱23例,先天变异38例。结论通过影像学检查可以对慢性腰背痛患者的病因作出诊断。

Objective To evaluate the relationship between the etiology and imaging manifestations of chronic lumbar spine and back pain patients. Methods Antero-posteri- or, lateral and bioblique views of the lumbar spine were analysed in all patients, and some suspected protrusion of the lumar interververtebral disc were confirmed by CTor/and MRI. Results (1) degenerative diseases of the lumbar spine (76cases). (2) protrusion of the lumbar intcrvertebral disc (16cases). (3) spondylolysis and spondylolithcisis (23cases). (4) congenital dysplasia(38cases), only 4 cases of the dysplasia were in individual exis- tence, the other 34 ones were involv with some lumar spine diseases. Conclusion The eti- ology of some lumar spine and back pain patients can be diagnosed on imaging.