腰椎间盘突出症的CT诊断与手术对照分析

目的提高CT对LDH诊断水平，为临床合理选择治疗方法提供依据。方法对CT诊断LDH并经手术探查的218例资料进行回顾性对照分析。结果CT诊断符合率为95.4％，文中将LDH分为①中央型；②偏侧型；③椎间孔型；④极外侧型；⑤脱出型。结论CT对LDH的诊断和临床合理选择治疗方法有重要的价值。重视区分髓核脱出及纤维组织增生对提高LDH的CT诊断率和疗效有重要意义。

Compartive Analysis on CTDiagnosis and Surgical Finding of LDH

Objective To improve the level of CT in diagnosing LDH and to provide the proof for selecting method of clinical treatment in lumbar disc herniation (LDH). Methods 218 cases of LDH showed by CT and operative exploration were analysed retrospectively.Results The accurate rats of CT diagnosis of LDH were 95.4%. According to CT findings it may be divided into 5 types: Ⅰ was central type, Ⅱ was postero-lateral type, Ⅲ was forminal type, Ⅳ was extreme lateral type, was nucleus pulposus type. Conclusion CT plays an important role in diagnosis and selecting methods of clinical treatment of LDH; It is signficance to enhance the accurate rats of CT diagnosis and the effect of treatment by distinguish nucleus pulposus and fibrous scar tissue from CT finding of LDH.