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静脉注射造影剂与脊髓造影计算机断层扫描在法国斗牛犬胸腰椎椎间盘突出症手术规划中的应用比较

IV Versus Myelography Computed Tomography for Thoracolumbar Intervertebral Disc Extrusion Surgical Planning in French Bulldogs.

作者信息

Signoret Marion, Gros Lucille, Musso Clément, Hahn Harriet, Le Boedec Kévin, Cauzinille Laurent

机构信息

From Neurology, Oncovet, Villeneuve D'ascq, Haut de France, France (M.S.).

CHV Frégis, Arcueil, France (L.G., K.L.B., L.C.).

出版信息

J Am Anim Hosp Assoc. 2023 Sep 1;59(5):207-213. doi: 10.5326/JAAHA-MS-7318.

Abstract

Accurate diagnostic imaging is required for surgical planning of acute thoracolumbar intervertebral disc extrusion. However, data comparing the accuracy of conventional IV contrast-injected computed tomography (CT) and myelography CT for hemilaminectomy localization and size assessment are sparse. In this study, IV contrast-injected CT and myelography CT were performed in 48 French bulldogs presenting with acute disc herniation and compared with postsurgical CT. CT images were evaluated by three raters. IV contrast-injected CT erroneously identified the compressive lesion site significantly more often than myelography CT. The length of the compressive lesion was significantly higher using myelography CT compared with conventional CT, but this did not lead to relevant consequences on the surgical opening site length. Myelography CT should therefore be recommended when thoracolumbar disc disease is suspected and multiple compressive lesions are visualized on IV-injected CT in French bulldogs.

摘要

准确的诊断成像对于急性胸腰椎椎间盘突出症的手术规划至关重要。然而,比较传统静脉注射造影剂计算机断层扫描(CT)和脊髓造影CT在半椎板切除术定位和大小评估准确性的数据较为稀少。在本研究中,对48只患有急性椎间盘突出症的法国斗牛犬进行了静脉注射造影剂CT和脊髓造影CT检查,并与术后CT进行比较。CT图像由三名评估者进行评估。静脉注射造影剂CT错误识别压迫性病变部位的情况明显比脊髓造影CT更常见。与传统CT相比,脊髓造影CT显示的压迫性病变长度明显更长,但这并未对手术开口部位的长度产生相关影响。因此,当怀疑法国斗牛犬患有胸腰椎间盘疾病且在静脉注射造影剂CT上发现多个压迫性病变时,应推荐使用脊髓造影CT。

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