腰椎间盘退变CT表现及分期探讨

CT manifestation and staging investigation of lumbar disc degeneration

目的探讨腰椎间盘退变的CT特点及分期的必要性,以提高对腰椎间盘CT各种表现的认识。方法 550例腰椎间盘退变患者,均经CT扫描确诊,对其临床资料进行回顾性分析。结果腰椎间盘变性82例,腰椎间盘膨出123例,腰椎间盘突出211例,腰椎间盘脱出(含髓核游离)45例,腰椎间盘钙化5例,腰椎间盘复合性改变84例。结论 CT是诊断腰椎间盘退变的首选方法 ,退变分期CT表现各不相同,彼此存在密不可分的内在联系,表现程度与临床症状呈一定的相关性,分期可以指导临床选择最佳的治疗方案。

Objective To investigate the CT features and necessity of staging of lumbar disc degeneration, in order to enhance understanding of CT manifestations of lumbar disc. Methods There were 550 patients with lumbar disc degeneration receiving CT scanning for diagnosis, and a retrospective analysis was made on their clinical data. Results There were 82 cases with lumbar disc degeneration, 123 cases with lumbar disc bulge, 211 cases with lumbar disc herniation, 45 cases with herniated lumbar disc （with sguestration）, 5 cases with lumbar disc calcification, and 84 cases with lumbar disc compound change. Conclusion CT is the preferred method in diagnosis of lumbar disc degeneration. Different manifestations in degeneration staging have closely internal link with each other. Manifestation degree is correlated with clinical symptom, and its staging can provide guidance for the best choice of treatment method.