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腰椎间盘突出症合并椎体后缘骨块的螺旋CT分析
引用本文:罗建东,陈乃楹,陈仲泽,常钢,刘化.腰椎间盘突出症合并椎体后缘骨块的螺旋CT分析[J].影像诊断与介入放射学,2001,10(2):86-88.
作者姓名:罗建东  陈乃楹  陈仲泽  常钢  刘化
作者单位:1. 510120,广州中医药大学第二附属医院影像科
2. 广州中医药大学附属骨伤科医院
摘    要:目的:对腰椎间盘突出症合并椎体后缘骨块形成机制进行探讨,方法:对273例腰椎间盘突出症合并椎体后缘骨块病例进行螺旋CT横断面,冠状面和矢状面成像研究。结果:椎体后骨块可分为:腰椎间盘突出钙化7例,后纵韧带骨化4例,许莫氏结节后壁破裂后移10例,椎体后缘骨赘5例,椎体后缘骨突骨折1例。结论:椎间盘突出合并椎体后骨块的影像表现不一,发生机理不同,成因有突出椎间盘钙化,后给韧带骨化,许莫氏结节后壁破裂后移,椎体后缘骨赘形成及骨突骨折。

关 键 词:腰椎间盘突出症  后椎缘骨  螺旋CT  诊断
修稿时间:2000年10月19

The spiral CT study of lumbar disc herniation with bone pieces at the posterior edge of lumbar vertebrae
LUO Jiandong,CHEN Naiying,CHEN Zhongzhe,et al..The spiral CT study of lumbar disc herniation with bone pieces at the posterior edge of lumbar vertebrae[J].Journal of Diagnostic Imaging & Interventional Radiology,2001,10(2):86-88.
Authors:LUO Jiandong  CHEN Naiying  CHEN Zhongzhe  
Institution:LUO Jiandong,CHEN Naiying,CHEN Zhongzhe,et al. Department of Radiology,the Second Affiliated Hospi-tal,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510120
Abstract:lo study the mechanism and classitication ot bone pieces at the postenor edge of lumbar vertebrae in cases with lumbar disc herniation. Methods The spiral CT multiplanar reconstruction (MPR) was applied in 27 cases, the axial, coronal and sagital imagings of which were analysed. Results 27 cases were divided into five groups: 1) Calcification of protruded disc, 7 cases; 2) Ossification of posterior longitudinal ligament, 4 cases; 3) Burst of Schmols node, lOcases; 4) Osteophyte, 5 cases; 5) Posterior lumbar apophyseal fracture, 1 case. Conclusion The mechanism and manifastation of the bone pieces are different in cases.
Keywords:Lumbar disc hemiation  Posterior lumbar limbus vertebrae  Spiral CT
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