MRI在腰椎间盘突出症中的应用与临床价值

The Value Of Mri In Diagnisis Of Hernialtion Of Lumbar InTervertebral Disc

本文对122例腰椎间盘突出症的MRI成像,结合临床进行了分析。通过手术摘除的45个椎间盘证实,结果突出符合率为96.9％,纤维破裂及髓核脱出符合率为92.3％;讨论了MRI成像在腰椎间盘突出症应用中具有定位,定性的准确性及鉴别诊断的价值。对于手术后症状复发的病例,可指导再手术及准确地避免了再手术,有着目前所不可取代的优越性。同时,提出MRI在对伴有神经通道狭窄方面的诊断,往往结果不尽人意,以及临床弥补的方法。

122 cases of MRI exanmination of lumbar intervertebral disc herniation were analysed combining with clinical evaluation. On the basis of 45 cases operated,the accurat rate in herniation of disc and prolapse of dise after rupture of anulus firocartilagines were 96. 9% and 92. 3% respectively. The value of MRI in location , determination of nature and differential diagnosis of lumbar intervertebral disc herniation were discussed. According to the classification, we could propose the method of clinical treatment, such as conducting reoperation or avoiding reoperation. Now we do consider it is the paramount diagnostic method for lumbar intervertebral disc herniation. But it has some shortness in diagnosis of the stenosis of nerve root passage.