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腰骶丛病变:临床体征与计算机断层扫描的相关性

Lumbosacral plexus lesions: correlation of clinical signs and computed tomography.

作者信息

Vock P, Mattle H, Studer M, Mumenthaler M

机构信息

Department of Diagnostic Radiology, University of Bern, Switzerland.

出版信息

J Neurol Neurosurg Psychiatry. 1988 Jan;51(1):72-9. doi: 10.1136/jnnp.51.1.72.

DOI:10.1136/jnnp.51.1.72
PMID:3351532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1032716/
Abstract

Neurological signs and computed tomographic morphology were compared in 60 patients. The primary neurological deficit was most commonly located in the sacral (n = 31) or lumbar plexus (n = 23) and was most commonly caused by a neoplasm (n = 40). In 78% of the patients it correlated with the lesions detected by computed tomography (CT). CT reliably demonstrates extraspinal mass lesions, but only moderately well predicts functional signs.

摘要

对60例患者的神经体征和计算机断层扫描形态进行了比较。主要神经功能缺损最常见于骶丛(n = 31)或腰丛(n = 23),最常见的病因是肿瘤(n = 40)。78%的患者中,神经功能缺损与计算机断层扫描(CT)检测到的病变相关。CT能可靠地显示脊柱外肿块病变,但对功能体征的预测能力仅为中等。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d717/1032716/aef0b18fd488/jnnpsyc00536-0091-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d717/1032716/208beeaf3ec5/jnnpsyc00536-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d717/1032716/4d87eb8ec917/jnnpsyc00536-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d717/1032716/93f07134a7d6/jnnpsyc00536-0090-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d717/1032716/aef0b18fd488/jnnpsyc00536-0091-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d717/1032716/208beeaf3ec5/jnnpsyc00536-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d717/1032716/4d87eb8ec917/jnnpsyc00536-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d717/1032716/93f07134a7d6/jnnpsyc00536-0090-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d717/1032716/aef0b18fd488/jnnpsyc00536-0091-a.jpg

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本文引用的文献

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Iatrogenic sciatic nerve entrapment following femoral shaft fracture: diagnosis by computed tomography.股骨干骨折后医源性坐骨神经卡压:通过计算机断层扫描诊断
J Comput Assist Tomogr. 1984 Feb;8(1):152-4. doi: 10.1097/00004728-198402000-00035.
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Neurogenic tumors of the sciatic nerve. A clinicopathologic study of 35 cases.
Mayo Clin Proc. 1983 Oct;58(10):640-7.
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Computed tomography of the sacral plexus and sciatic nerve in the greater sciatic foramen.坐骨大孔处骶丛及坐骨神经的计算机断层扫描
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CT appearance of generalized von Recklinghausen neurofibromatosis.全身型冯雷克林霍增氏神经纤维瘤病的CT表现。
J Comput Assist Tomogr. 1983 Oct;7(5):866-9. doi: 10.1097/00004728-198310000-00021.
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Computed tomography of extracranial nerve sheath tumors with pathological correlation.颅外神经鞘瘤的计算机断层扫描与病理对照
J Comput Assist Tomogr. 1983 Oct;7(5):857-65. doi: 10.1097/00004728-198310000-00020.
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Neurology. 1983 Dec;33(12):1553-7. doi: 10.1212/wnl.33.12.1553.
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