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磁共振成像和椎间盘造影术在椎间盘退变诊断中的应用。对50个椎间盘的比较研究。

Magnetic resonance imaging and discography in the diagnosis of disc degeneration. A comparative study of 50 discs.

作者信息

Gibson M J, Buckley J, Mawhinney R, Mulholland R C, Worthington B S

出版信息

J Bone Joint Surg Br. 1986 May;68(3):369-73. doi: 10.1302/0301-620X.68B3.3733797.

DOI:10.1302/0301-620X.68B3.3733797
PMID:3733797
Abstract

The lumbar spines of 22 patients were examined for disc degeneration by magnetic resonance imaging (MRI) and by discography. The results from 50 intervertebral discs visualised by both techniques were independently assessed and graded on a five-point scale from normality to gross degeneration and then compared. In 44 discs the results agreed. Of the six discs which gave differing results, four discrepancies were due to observer error and two to incorrect placement of the discographic needle. MRI was shown to be more accurate than discography in the diagnosis of disc degeneration. It has several major advantages, which should make it the investigation of choice.

摘要

对22例患者的腰椎进行了磁共振成像(MRI)和椎间盘造影检查,以评估椎间盘退变情况。通过两种技术均能观察到的50个椎间盘的结果,由独立的人员按照从正常到严重退变的五点量表进行评估和分级,然后进行比较。在44个椎间盘中,结果一致。在结果不同的6个椎间盘中,4个差异是由于观察者误差,2个是由于椎间盘造影针放置不当。结果表明,在椎间盘退变的诊断中,MRI比椎间盘造影更准确。它有几个主要优点,应使其成为首选的检查方法。

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