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[神经根造影术和共振断层扫描在腰椎间盘病诊断与治疗中的意义]

[The significance of radiculography and resonance tomography in the diagnosis and treatment of lumbar discopathy].

作者信息

Zarski S, Styczyński T, Piróg A, Pyskło B, Krzemińska-Dabrowska I, Pasek A

机构信息

Kliniki Spondylo-Neurochirurgicznej, Instytutu Reumatologicznego, Warszawie.

出版信息

Neurol Neurochir Pol. 1997 Mar-Apr;31(2):247-69.

PMID:9380255
Abstract

The subject of the study was an assessment of the usefulness of radiculography and resonance tomography in the diagnosis of lumbar discopathy. The study was carried out in 100 cases of lumbar discopathy treated at the Department of Spondyloneurosurgery Institute of Rheumatology in Warsaw. Both radiculography and resonance tomography were found to be of equal diagnostic value in the verification of the clinical symptoms of this discopathy. The detection rate of lumbar discopathy by both methods was much higher than based on clinical symptomatology alone. The use of both methods was not equivalent diagnostically (often they replace one another, but often also they supplement one another), and for that reason combined examination by both methods is frequently of high importance in practice, when the line of management is to be set down.

摘要

该研究的主题是评估神经根造影术和共振断层扫描在腰椎间盘病诊断中的实用性。该研究在华沙风湿病学研究所脊柱神经外科治疗的100例腰椎间盘病病例中进行。在验证这种椎间盘病的临床症状方面,神经根造影术和共振断层扫描被发现具有同等的诊断价值。两种方法对腰椎间盘病的检出率均远高于仅基于临床症状学的诊断率。两种方法在诊断上并非等效(它们常常相互替代,但也常常相互补充),因此,当要确定治疗方案时,在实际操作中两种方法联合检查常常具有重要意义。

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