Brenner A, Roosen K, Hartjes H, Buch A, Ruhnau K
Neurochirurgia (Stuttg). 1984 Jan;27(1):8-11. doi: 10.1055/s-2008-1053714.
One hundred patients were submitted to a prospective, comparative study of metrizamide myelography and discography. In the 32 patients with cervical myelopathy discography yielded no additional information and was thus abandoned. The 68 patients with radiculopathy disease the following results were obtained: In view of the agreement between clinical and myelographic monosegmental findings, discography was considered unnecessary. However, in seven cases with negative myelograms it was possible to show a disc prolapse by discography. When the myelogram was pathological over several segments discography furnished additional information for the differential diagnosis between osteochondrotic or discogenic space-occupying lesions.
100例患者接受了甲泛葡胺脊髓造影和椎间盘造影的前瞻性对比研究。在32例患有颈椎病的患者中,椎间盘造影未提供额外信息,因此被放弃。在68例患有神经根病的患者中,获得了以下结果:鉴于临床和脊髓造影单节段检查结果一致,认为椎间盘造影没有必要。然而,在7例脊髓造影阴性的病例中,椎间盘造影显示了椎间盘突出。当脊髓造影在多个节段出现病理改变时,椎间盘造影为骨软骨性或椎间盘源性占位性病变的鉴别诊断提供了额外信息。