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急性下背痛的影像学检查

Imaging of Acute Low Back Pain.

作者信息

Johnson Scott M, Shah Lubdha M

机构信息

Department of Radiology and Imaging Sciences, University of Utah, 30 North 1900 East, Room 1A71, Salt Lake City, UT 84132, USA.

Department of Radiology and Imaging Sciences, University of Utah, 30 North 1900 East, Room 1A71, Salt Lake City, UT 84132, USA.

出版信息

Radiol Clin North Am. 2019 Mar;57(2):397-413. doi: 10.1016/j.rcl.2018.10.001. Epub 2018 Dec 5.

DOI:10.1016/j.rcl.2018.10.001
PMID:30709477
Abstract

Acute low back pain, defined as less than 6 weeks in duration, does not require imaging in the absence of "red flags" that may indicate a cause, such as fracture, infection, or malignancy. When imaging is indicated, it is important to rule out a host of abnormalities that may be responsible for the pain and any associated symptoms. A common mnemonic VINDICATE can help ensure a thorough consideration of the possible causes.

摘要

急性下背痛,定义为病程少于6周,在没有可能提示病因(如骨折、感染或恶性肿瘤)的“红旗”症状时,不需要进行影像学检查。当需要进行影像学检查时,排除一系列可能导致疼痛及任何相关症状的异常情况很重要。一个常用的助记符VINDICATE有助于确保全面考虑可能的病因。

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