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临床检查与计算机断层扫描在极外侧椎间盘突出症诊断中的可靠性

Reliability of clinical examination and computed tomography in the diagnosis of extreme lateral disc herniation.

作者信息

Spanu G, Rodriguez y Baena R, Rainoldi F

出版信息

Neurochirurgia (Stuttg). 1987 Jul;30(4):112-4. doi: 10.1055/s-2008-1054074.

Abstract

Twenty-eight cases of extreme lateral and foraminal disc herniation diagnosed by CT are reported. All cases have been surgically verified. In four cases (14%) CT diagnosis failed. The clinical pattern in these cases was not very different from that of typical disc herniation. The reliability of clinical diagnosis is 71%. EMG is seldom diagnostic. Myelography is uniformly of no value as a diagnostic measure.

摘要

报告了28例经CT诊断为极外侧和椎间孔椎间盘突出症的病例。所有病例均经手术证实。4例(14%)CT诊断失败。这些病例的临床症状与典型椎间盘突出症的症状差异不大。临床诊断的可靠性为71%。肌电图很少具有诊断价值。脊髓造影作为一种诊断方法毫无价值。

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