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[磁共振断层扫描(MRT)在腰椎手术失败综合征(FBSS)诊断中的应用]

[Magnetic resonance tomography (MRT) in the diagnosis of Failed Back Surgery Syndrome (FBSS)].

作者信息

Allgayer B, Frank A, Daller D, von Einsiedel H, Trappe A

机构信息

Institut für Röntgendiagnostik, Technische Universität München.

出版信息

Rofo. 1993 Feb;158(2):160-5. doi: 10.1055/s-2008-1032622.

DOI:10.1055/s-2008-1032622
PMID:8443362
Abstract

MRT was performed, using a 0.5 and 1.5 Tesla magnet, on 150 patients with FBSS between three days and 23 years following lumbar disc surgery. T1-weighted spin echo sequences were obtained before and after the application of gadolinium (0.15 mmol/kg). In 67 patients the MRT findings were compared with surgical observations. MRT had a sensitivity of 94% in diagnosing recurrent prolapse, a specificity of 100% and accuracy of 94%. The ventral epidural scar tissue, the disc and the neighbouring vertebral bodies showed increased contrast uptake over a prolonged post-operative period.

摘要

使用0.5特斯拉和1.5特斯拉的磁体,对150例腰椎间盘手术后3天至23年出现FBSS的患者进行了磁共振成像(MRT)检查。在注射钆(0.15 mmol/kg)前后获取了T1加权自旋回波序列。对67例患者的MRT检查结果与手术观察结果进行了比较。MRT诊断复发性椎间盘突出的敏感性为94%,特异性为100%,准确性为94%。在术后较长一段时间内,腹侧硬膜外瘢痕组织、椎间盘及相邻椎体的造影剂摄取增加。

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Rofo. 1993 Feb;158(2):160-5. doi: 10.1055/s-2008-1032622.
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