腰椎间盘突出CT诊断与手术的关系(附67例报告)

CT Diagnosis of Lumbar Intervertebral Disk Protrusion: A Report of 67 Cases

本文报告使用CT诊断腰椎间盘突出67例,根据不同的病变特点,分别采用开窗式、半椎板式、全椎板式和显微外科方法摘除椎间盘髓核,切除肥厚黄韧带或扩大狭窄侧隐窝或切除椎体后骨赘。手术证实椎间盘突出62例,CT诊断符合率为92.5%。而黄韧带肥厚,侧隐窝狭窄和椎体后骨赘则完全符合。治疗效果比较满意,优良率为91.7%。

Sixty-seven cases of lumbar intervertebral disc protrusion diagnosed With Model GE 8800 CT are reported.According to the various pathologic condition found, enucleation of the discs, excision of the hypertrophic ligamentum flava, enlargement of the stenosed lateral recesses and excision of the vertebral osteophytes were accomplished through one of the following approaches：laminectomy, bemilamlnectomy or minimal laminectomy with the aid of an operative microscope. Lumbar inter vertebral disk was found during operation in 62 cases.Aceuracy of diagnosis with CT for lumbar disc protrusion was 98.5%, whereas that for hypertrophy of ligamenta flava, stenosis of lateral recesses and vertebral osteophytes were all correct as confirmed with surgery. The results after surgical treatment were satisfactory, being excellent of good in 91.7%. There was no complication after operation except one patient complained of numbness and weekness of one lower limb for a short duration.