Husson J L, de Korvin B, Frocrain L, Lucas C, Duvauferrier R
Service orthopédie A, Hôtel Dieu, CHU de Rennes.
Rev Chir Orthop Reparatrice Appar Mot. 1990;76(7):519-24.
The respective performance of MRI and CT were studied prospectively in 80 cases. Surgery was indicated in 56 patients after MRI examination and 21 patients after CT; the 21 patients were included in the 56. Among these patients, 45 were reoperated and 11 preferred the medical treatment. Surgery confirmed the diagnosis for 44 patients (from the 45), and the only discordance was the presence of ligament calcification, associated to a disc protrusion not seen on MRI. Surgery confirmed also the diagnosis for the 21 cases diagnosed by CT after iodine injection. However, among the 24 cases of fibrosis diagnosed by CT after i.v. injection were found: 19 recurrent disc protrusions, 4 disc protrusions with fibrosis, and 1 disc protrusion at a level above the operated disc.
前瞻性研究了80例患者MRI和CT各自的表现。MRI检查后56例患者和CT检查后21例患者被建议手术;这21例患者包含在56例之中。这些患者中,45例接受了再次手术,11例选择了药物治疗。手术确诊了44例患者(来自45例),唯一不一致的情况是存在韧带钙化,与MRI上未见的椎间盘突出有关。手术也确诊了21例碘注射后经CT诊断的病例。然而,在静脉注射后经CT诊断的24例纤维化病例中发现:19例复发性椎间盘突出、4例伴有纤维化的椎间盘突出和1例手术节段以上水平的椎间盘突出。