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多层螺旋CT在腰椎滑脱手术中的应用价值
引用本文:陈林凯,周海军,李卫平,蒋书情.多层螺旋CT在腰椎滑脱手术中的应用价值[J].现代保健,2012(30):75-76.
作者姓名:陈林凯  周海军  李卫平  蒋书情
作者单位:湖南省郴州市第一人民医院,湖南郴州423000
摘    要:目的:探讨多层螺旋CT(MSCT)在腰椎滑脱手术中的应用价值。方法:采用GELightSpeed16层螺旋CT机扫描,经平片初诊为腰椎滑脱并接受16排螺旋CT扫描的患者65例,利用获得的横断影像进行后处理。结果:65例腰椎滑脱病例中,有62例均为向前滑脱,3例向后滑脱;其中L3前滑脱5例,L4向前滑脱13例,L5前滑脱44例,L5后滑脱3例。结论:应用MSCT对腰椎滑脱进行扫描机影像后处理,为临床外科手术提供了方便、直观、可操作性、重复性影像资料,因此,多层螺旋CT对于腰椎滑脱手术前治疗方案的制定,手术后疗效评估起到了积极作用。

关 键 词:腰椎滑脱  手术  体层摄影术  多层螺旋CT

The Application Value of MDCT in Lumbar Olisthe Operation
Institution:CHEN Lin-kai,ZHOU Hai-jun,LI Wei-ping,et al.The First People's Hospital of Chenzhou,Chenzhou 423000,China
Abstract:Objective:To explore the value of multi-slice spiral CT(MSCT) in lumbar spondylolisthesis surgery.Method:To use the GE Light Speed 16 slice spiral CT machine scan,lumbar spondylolisthesis by plain film with newly diagnosed and accept 65 cases of 16-slice spiral CT scans of patients,the cross-sectional image post-processing.Result:In 65 cases of lumbar spondylolisthesis cases,62 cases were slip forward,3 cases of backward slippage,and waist 3 slippage five cases,L4 forward slippage of 13 cases of 44 cases,L5 spondylolisthesis,lumbar spondylolisthesis 5 three cases.Conclusion:MSCT in lumbar spondylolisthesis with scanning and image processing provides a convenient and intuitive operability,repetitive images,and multi-slice spiral CT before surgery for lumbar spondylolisthesis treatment programs to develop clinical surgery,the efficacy assessment after surgery play a positive role.
Keywords:Lumbar spondylolisthesis  Surgery  Tomography  MSCT
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