脊柱侧弯的传统甲泛葡胺脊髓造影（MM）和计算机断层扫描甲泛葡胺脊髓造影（CTMM）。一项对比研究。

Conventional metrizamide myelography (MM) and computed tomographic metrizamide myelography (CTMM) in scoliosis. A comparative study.

作者信息

Pettersson H, Harwood-Nash D C, Fitz C R, Chuang H S, Armstrong E

出版信息

Radiology. 1982 Jan;142(1):111-4. doi: 10.1148/radiology.142.1.7053519.

DOI:10.1148/radiology.142.1.7053519

Abstract

A retrospective examination was performed to assess the accuracy of metrizamide myelography (MM) and computed tomographic metrizamide myelography (CTMM) in scoliosis. Of 81 consecutive scoliotic children studied by myelography, 30 had only MM while the remaining 51 had CTMM immediately afterward. CTMM added essential diagnostic information in 13 cases of dysraphism and 4 cases of idiopathic scoliosis; in the remaining cases, both methods gave the same information. The authors conclude that in patients with severe scoliosis, dysraphism, and scoliosis with localized neurological disturbances, CTMM should always be added to MM or be the only examination; while in idiopathic scoliosis with vague neurological disturbances a survey of the entire spine is essential, preferably with MM.

摘要

进行了一项回顾性检查，以评估甲泛葡胺脊髓造影（MM）和计算机断层扫描甲泛葡胺脊髓造影（CTMM）在脊柱侧弯诊断中的准确性。在连续接受脊髓造影检查的81例脊柱侧弯患儿中，30例仅接受了MM检查，其余51例随后立即接受了CTMM检查。CTMM在13例神经管闭合不全和4例特发性脊柱侧弯病例中提供了重要的诊断信息；在其余病例中，两种方法提供的信息相同。作者得出结论，对于重度脊柱侧弯、神经管闭合不全以及伴有局部神经功能障碍的脊柱侧弯患者，应在MM基础上始终加做CTMM或仅进行CTMM检查；而对于伴有模糊神经功能障碍的特发性脊柱侧弯患者，对整个脊柱进行检查至关重要，最好采用MM检查。