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腰椎间盘突出症的影像学对比研究 被引量:4

A COMPARATIVE STUDY ON IMAGING EXAMINATIONS OF LUMBAR INTERVERTEBRAL DISC HERNIA
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摘要 为了进一步探讨影像学检查在腰椎间盘突出症诊断中的价值,对 126 例腰椎间盘突出症术前 X 线平片、 B超、 C T、脊髓造影和 M R I五种诊断的手术符合率进行了对照分析。结果表明 X线平片定位诊断的手术符合率与其它四种影像检查的手术符合率有显著差别。对于腰椎间盘突出症的手术诊断符合率分别是 X 线平片 65% 、 B 超 89.1% 、 C T 89.4% 、脊髓造影 89.2% 、 M R I90.9% 。对于间盘突出合并间盘变性的术前诊断, B超与 M R I无明显差别。认为在间盘突出诊断中要明确是否合并间盘变性, B超应列为首选;施行手术前应常规进行 C T 检查。 The surgical coincidence rates of the five preoperative imaging diagnostic methods including X ray, B mode ultrasound scanning, CT, myelography and MRI were compared and analysed in 126 cases of lumbar intervertebral disc hernia (LIDH) so as to further explore the evalue of the imaging examinations in the diagnosis of LIDH. The results tested by X 2 suggested that the surgical coincidence rate of X ray location and diagnosis had a significant difference from that of other four imaging examinations, and that the surgical diagnostic coincidence rates of X ray, B mode ultrasound scanning, CT, myelography and MRI of LIDH were 65 %, 89.1 %, 89.4 %, 89.2 % and 90.9 %, respectively. B mode ultrasound scanning and MRI had no significant difference in the preoperative diagnosis of LIDH with disc degeneration. The authors believed that B mode ultrasound scanning should be first selected for the diagnosis of the associated disc degeneration in LIDH, and CT scanning should be made as the routine examination before operation.
出处 《中医正骨》 1999年第9期12-13,共2页 The Journal of Traditional Chinese Orthopedics and Traumatology
关键词 腰椎间盘突出症 诊断 X线平片 B超 lumbar intervertebral disc hernia/radiography diagnosis radiograph B mode ultrasound scanning CT myelography MRI comparative study
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