中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
28期
123-125,126
,共4页
胡雪珍%李正军%陈虎%于小利
鬍雪珍%李正軍%陳虎%于小利
호설진%리정군%진호%우소리
腰椎%椎管狭窄%断层摄影%X线计算机
腰椎%椎管狹窄%斷層攝影%X線計算機
요추%추관협착%단층섭영%X선계산궤
Lumbar vertebrae%Spinal stenosis%Tomography%X-ray computed
目的：探讨腰椎管狭窄的CT诊断价值。方法：回顾性分析77例腰椎管狭窄患者的CT表现。结果：椎间盘突出41例（其中L3~417例，L4~537例，L5~S132例），伴有左侧突21例，右侧突18例，23例L3~S1椎小关节增生、内突，35例黄韧带肥厚，两者并存19例；腰椎间盘突出伴有黄韧带肥厚27例，L3~S1椎体后缘骨内软骨结节15例（其中L412例）；L3~5椎体压缩性骨折7例，L4~5椎体滑脱14例（其中L49例，L55例）。结论：CT检查可以明确腰椎管狭窄的原因、部位、程度、范围，为临床提供重要的诊断依据。
目的：探討腰椎管狹窄的CT診斷價值。方法：迴顧性分析77例腰椎管狹窄患者的CT錶現。結果：椎間盤突齣41例（其中L3~417例，L4~537例，L5~S132例），伴有左側突21例，右側突18例，23例L3~S1椎小關節增生、內突，35例黃韌帶肥厚，兩者併存19例；腰椎間盤突齣伴有黃韌帶肥厚27例，L3~S1椎體後緣骨內軟骨結節15例（其中L412例）；L3~5椎體壓縮性骨摺7例，L4~5椎體滑脫14例（其中L49例，L55例）。結論：CT檢查可以明確腰椎管狹窄的原因、部位、程度、範圍，為臨床提供重要的診斷依據。
목적：탐토요추관협착적CT진단개치。방법：회고성분석77례요추관협착환자적CT표현。결과：추간반돌출41례（기중L3~417례，L4~537례，L5~S132례），반유좌측돌21례，우측돌18례，23례L3~S1추소관절증생、내돌，35례황인대비후，량자병존19례；요추간반돌출반유황인대비후27례，L3~S1추체후연골내연골결절15례（기중L412례）；L3~5추체압축성골절7례，L4~5추체활탈14례（기중L49례，L55례）。결론：CT검사가이명학요추관협착적원인、부위、정도、범위，위림상제공중요적진단의거。
Objective:To investigate the value of CT diagnosis for lumbar spinal stenosis.Method:CT images of 77 patients with lumbar spinal stenosis were retrospectively analyzed.Result:The analysis in the 77 patients with lumbar spinal stenosis showed that there were 41 cases with lumbar intervertebral disc protrusion(among them 17 cases were L3-4,37 cases were L4-5,32 cases were L5-S1),21 cases with the left side,18 cases on the right side,23 cases were L3-S1 vertebral hyperplasia of small joints and inside,35 cases with the lumbar yellow ligament hypertrophy,both coexist in 19 cases,27 cases were lumbar disc with yellow ligament hypertrophy,15 cases with L3-S1 of lumbar posterior marginal intraosseous cartilaginous node(12 cases were L4)and 7 cases with L3-5 of vertebral compression fracture.L4-5 spondylolisthesis in 14 cases(including 9 cases were L4,9 cases were L5).Conclusion:CT examination can clear the reason,position,degree,scope of lumbar spinal stenosis,provide an important basis for the diagnosis of clinical.
