X线摄影诊断腰椎间盘突出症30例 |
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引用本文: | 王建业,杜一郎,周作明. X线摄影诊断腰椎间盘突出症30例[J]. 现代保健, 2012, 0(4): 87-88 |
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作者姓名: | 王建业 杜一郎 周作明 |
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作者单位: | [1]广东省佛山市高明区中医院,528000 [2]广东省佛山市高明区合水医院 ,528000 [3]广东省佛山市顺德区杏坛医院,528000 |
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摘 要: | 目的探讨腰椎间盘突出症腰椎x线片的影像学特点及临床意义。方法本院经手术确诊为腰椎间盘突出症患者30例,对其x线资料进行回顾性分析,总结腰间盘突出症的x线特点。结果本组30例患者中,24例表现为椎间隙前窄后宽或宽窄一致,占80%,21例表现为突出间盘相邻椎体缘的硬化和唇样增生,占70%,20例表现为腰椎曲度变化,占66.67%,18例表现为椎体后缘后翘,占60%,18例表现为许莫氏结节,占60%。CT检查对腰间盘突出症诊断的确诊率高于x线检查,差异有统计学意义(P〈0.001)。结论CT检查优于x线检查,对手术方式的选择有重要意义。在基层医院,x线片检查仍然对诊断腰间盘突出症有重要的价值和意义。
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关 键 词: | 腰椎间盘突出症 CT X线 |
The analysis on the results of X - ray diagnosis of 30 patients with intervertebral disc |
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Affiliation: | WANG Jian - ye ,DU Yi - lang,ZHOU Zuo - ming.( Brillant district, foshan city, guangdong province, orthopaedic hospital,foshan 528000, China) |
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Abstract: | Objective To explore the lumbar spine X - ray imaging features and clinical significance of lumbar disc herniation. Methods A retrospective analysis was used to analyze the X - ray features of 30 cases lumbar disc herniation radiographic tha~ were diag- nosed by operation in our hospital from Feb 2010 to Feb 2011. Results Among the 30 patients, 24 cases showed intervertebral space after consistent width wide or n arrow front, accounting for 80. 00%. 21 cases showed prominent disc adjacent vertebral margin of the hardening and labial hyperplasia, accounting for 70. 00%. 20 cases with lumbar curvature variation, accounting for 66. 66%. 18 cases showed the pos- terior margin of the vertebral body, accounting for 60. 00%. 18 cases showed Schmors nodule, accounting for 60. 00%. CT examination has a higher examination rate than that of X - ray (88 % vs55.4% ) to confirm the diagnosis of lumbar disc herniation, which has statistical differ- ence ( P 〈 O. 05 ). Conclusion Although CT is superior to X - ray examination, On the choice of the mode of operation has important sig- nificance. X -ray examination has important value and significance in the diagnosis of lumbar disc herniation, which can significantly im- prove the diagnosis rate combined by clinical characteristics. Especially in the primary hospital. |
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Keywords: | Lumbar disc herniation CT X -raydoi: 10. 3969/j. issn. 1674 -4985. 2012.04. 053 |
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