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计算机断层扫描在诊断颈椎间盘突出症中的应用

[Computerized tomography in the diagnosis of a herniated cervical disk ].

作者信息

Di Guglielmo L, Vadalà G, Garbagna G, Villa A, Dore R, Lombardi M

出版信息

Radiol Med. 1984 Jan-Feb;70(1-2):20-7.

PMID:6484235
Abstract

A total number of 117 cervical herniated disks was observed in 103 patients. Among these, 30 underwent surgical treatment. A comparison is made between CT findings and myelographic and surgical data. Purpose of the investigation is to define the reliability of CT in the diagnosis of cervical herniated disk. The morphology, level and tomographic localization into the vertebral canal are described. Moreover the possible association with spondylosis and "narrow canal" is stressed. The diagnosis was correct in all operated cases (100%). The topographic description too was correct in all cases. In 3 patients the level-diagnosis was mistaken. CT shows a higher degree of sensibility and specificity than myelography in the diagnosis of herniated disk in the cervical spine.

摘要

在103例患者中,共观察到117个颈椎间盘突出。其中30例接受了手术治疗。对CT检查结果与脊髓造影及手术数据进行了比较。本研究的目的是确定CT在诊断颈椎间盘突出中的可靠性。描述了其形态、位置以及在椎管内的断层定位。此外,还强调了其与颈椎病和“椎管狭窄”的可能关联。所有手术病例的诊断均正确(100%)。所有病例的断层扫描描述也都正确。有3例患者的位置诊断有误。在诊断颈椎间盘突出方面,CT显示出比脊髓造影更高的敏感性和特异性。

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