摘要
椎间盘髓核摘除术后并发椎间盘炎.临床比较少见.但是一个严重的并发症。本组14例,男9例,女5例。腰4,5椎间盘炎9例,腰5~骶1椎间盘炎5例.术后5~10天出现症状.平均7.6天.术后3一10天行CT检查.平均7.1天CT显示椎体软骨板破坏,有缺损,椎体边缘呈毛刷状.参差不齐.椎体后缘有空洞形成.椎间隙内有残留气体.椎旁软组织肿胀。CT显示椎管内神经根稍有水肿.硬膜囊无受压现象.文章讨论了术椎间盘炎的发病率和病因及CT在椎间盘炎诊断中的价值,CT能为临床早期判断术后有无椎间盘炎提供可靠的影像学证据.指导临床选用适当的处理方法.
Discitis is a rare complication of operation on
the disc.
CT scanning had been made in l4 cases,9 cases in male and 5 cascs in fcmale.There were 9
cases in L4-5 and 5 cases in L5-S1.Symptomsbegan fivc and ten days after operation.CT scan
had been made from 3 to 10 days with an averageof 7.1 days.CT scan showed erosion of the
end -plates,defects and irregular of intervertebral edge and later intervertebral cavitation.There
was air remained in intervertebral space.The soft tissuein both of intervertebral body and nervc
root showed the edema、Incidence,pathology and clinicalvalue of CT scan of discitis were
discussed.It is recommended that CT seanning is useful in provid.ing early typical radiographic
finding of discitis and in guiding clinical treatmoent.
出处
《颈腰痛杂志》
1994年第1期3-4,共2页
The Journal of Cervicodynia and Lumbodynia