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腰椎间盘突出症的诊断——计算机断层扫描和脊髓造影检查结果(作者译)

[The diagnosis of lumbar disc prolapse--computer tomographic and myelographic findings (author's transl)].

作者信息

Claussen C, Grumme T, Treisch J, Lochner B, Kazner E

出版信息

Rofo. 1982 Jan;136(1):1-8. doi: 10.1055/s-2008-1055986.

Abstract

Seventy-seven patients with back pain and suspected disc prolapse were examined by computer tomography, and 41 have in addition myelograms. In 26 patients surgery was performed. The accuracy of computer tomography in the diagnosis of disc prolapse was greater than 86%, with additional myelography it was greater than 95%. Difficulties in diagnosis using computer tomography were encountered with recurrent disc prolapses. CT of the disc should be performed with a high resolution scanner using a slice thickness of 2 mm before myelography is considered. Definitely abnormal CT findings make myelography unnecessary.

摘要

77例背痛且疑似椎间盘突出的患者接受了计算机断层扫描检查,其中41例还进行了脊髓造影。26例患者接受了手术。计算机断层扫描诊断椎间盘突出的准确率超过86%,联合脊髓造影时准确率超过95%。复发性椎间盘突出在使用计算机断层扫描诊断时存在困难。在考虑进行脊髓造影之前,应使用层厚2mm的高分辨率扫描仪进行椎间盘CT扫描。明确异常的CT表现可使脊髓造影不再必要。

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