中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
12期
1791-1792
,共2页
椎间盘移位%体层摄影术,螺旋计算机%磁共振成像
椎間盤移位%體層攝影術,螺鏇計算機%磁共振成像
추간반이위%체층섭영술,라선계산궤%자공진성상
Intervertebral disc displacment%Tomography,spiral computed%Magnetic resonance imaging
目的 比较CT与MRI用于极外侧型腰椎间盘突出症(FLLDH)的影像学诊断价值并分析其影像学特点.方法 选择FLLDH患者38例,观察经CT和MRI扫描的椎间盘突出阳性节段结果及其影像学特点,对其影像学诊断价值和影像学特点进行分析.结果 CT扫描阳性结果为94.74％(36/38),MRI扫描为100.00％(38/38),差异无统计学意义(x2=2.89,P＞0.05);椎间盘突出节段主要集中在L3～4和L4-5节段,MRI扫描分别占34.21％(13/38)和39.47％(15/38),CT扫描分别占31.58％(12/38)和39.47％(15/38);突出呈丘状22例,半圆形8例,不规则形和三角型各3例;椎间孔内侧型4例,椎间孔外侧型18例,混合型14例;突出程度＜3 mm者13例,4～7 mm者20例,7mm以上者5例.结论 CT与MRI检查均能够准确诊断FLLDH,对判断FLLDH及其位置、程度和指导临床及时处理具有重要的临床应用价值.
目的 比較CT與MRI用于極外側型腰椎間盤突齣癥(FLLDH)的影像學診斷價值併分析其影像學特點.方法 選擇FLLDH患者38例,觀察經CT和MRI掃描的椎間盤突齣暘性節段結果及其影像學特點,對其影像學診斷價值和影像學特點進行分析.結果 CT掃描暘性結果為94.74％(36/38),MRI掃描為100.00％(38/38),差異無統計學意義(x2=2.89,P＞0.05);椎間盤突齣節段主要集中在L3～4和L4-5節段,MRI掃描分彆佔34.21％(13/38)和39.47％(15/38),CT掃描分彆佔31.58％(12/38)和39.47％(15/38);突齣呈丘狀22例,半圓形8例,不規則形和三角型各3例;椎間孔內側型4例,椎間孔外側型18例,混閤型14例;突齣程度＜3 mm者13例,4～7 mm者20例,7mm以上者5例.結論 CT與MRI檢查均能夠準確診斷FLLDH,對判斷FLLDH及其位置、程度和指導臨床及時處理具有重要的臨床應用價值.
목적 비교CT여MRI용우겁외측형요추간반돌출증(FLLDH)적영상학진단개치병분석기영상학특점.방법 선택FLLDH환자38례,관찰경CT화MRI소묘적추간반돌출양성절단결과급기영상학특점,대기영상학진단개치화영상학특점진행분석.결과 CT소묘양성결과위94.74％(36/38),MRI소묘위100.00％(38/38),차이무통계학의의(x2=2.89,P＞0.05);추간반돌출절단주요집중재L3～4화L4-5절단,MRI소묘분별점34.21％(13/38)화39.47％(15/38),CT소묘분별점31.58％(12/38)화39.47％(15/38);돌출정구상22례,반원형8례,불규칙형화삼각형각3례;추간공내측형4례,추간공외측형18례,혼합형14례;돌출정도＜3 mm자13례,4～7 mm자20례,7mm이상자5례.결론 CT여MRI검사균능구준학진단FLLDH,대판단FLLDH급기위치、정도화지도림상급시처리구유중요적림상응용개치.
Objective To investigate and analyze the diagnostic imaging features of patients with far lateral lumbar disc herniation (FLLDH) by CT and MRI.Methods 38 patients with FLLDH were diagnosed,and its radiology imaging diagnosis and clinical characteristics were analyzed.The main positive results of intervertebral disc herniation segment by CT and MRI scanning and its imaging features were observed.Results The positive of CT scans was 94.74％ (36/38),MRI scans was 100％ (38/38),the difference was not statistically significant (x2 =2.89,P ＞0.05) ;disc segments were mainly in L3-4 and L4-5 segments respectively,MRI scans were 34.21％ (13/38) and 39.47％ (15/38),CT scans were 3 1.58％ (12/38) and 39.47％ (15/38) ;22 cases with hummocky,8 cases with semicircular,irregular triangular shape and 3 cases respectively ;4 cases with foramen medial,18 cases with lateral foramen,14 cases of mixed type;prominence of ＜ 3 mm was 13 cases,20 cases with 4 to 7 mm,8 cases with more than 7mm.Conclusion CT and MRI examination can accurately diagnose FLLDH and judge its location,extent and clinical timely treatment has important clinical application value.
