| 腰椎间盘突出症的影像学诊断 |
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| 引用本文： | 屈辉,孙楠,程晓光.腰椎间盘突出症的影像学诊断[J].中国临床医学影像杂志,2002,13(6):418-422. |
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| 作者姓名： | 屈辉 孙楠 程晓光 |
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| 作者单位： | 北京积水潭医院放射科,北京,100035 |
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| 摘 要： | 目的：比较各种影像学检查对腰椎间盘突出症诊断的优缺点。材料与方法：选取经手术证实且全部具有X线平片、cT、MRI、椎间盘造影后cT(cTD)、脊髓造影后cT(cTM)检查的腰椎间盘突出症患者29例，共有38个间盘行间盘造影，34个间盘经手术证实。结果：在34个经手术证实的间盘中，28个为侧后方突出，5个为后正中突出，1个为侧方突出。结论：MRI诊断的敏感性及特异性较脊髓造影及cTM高，间盘造影及cTD可以精确地反映椎间盘的病理学改变。
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| 关 键 词： | 腰椎间盘突出症 影像学诊断 X线平片 CT 磁共振成像 |
| 文章编号： | 1008-1062(2002)06-0418-05 |
| 修稿时间： | 2002年2月26日 |
Radiologic diagnosis of the intervertebral disc herniation |
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| QU Hui,SUN Nan,CHENG Xiao-guang.Radiologic diagnosis of the intervertebral disc herniation[J].Journal of China Clinic Medical Imaging,2002,13(6):418-422. |
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| Authors: | QU Hui SUN Nan CHENG Xiao-guang |
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| Institution: | QU Hui,SUN Nan,CHENG Xiao-guang Department of Radiology,Beijing Jishuitan Hospital,Beijing100035,China |
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| Abstract: | Objective:To compare the sensitivity and specificity of myelography,CTM,discography,CTD and MRI in detecting intervertebral disc herniation(DH).Materials and Methods:We analyzed29patients,38DH.Thirty-four of them were confirmed by operation.Results:Of the34DH,28were protruding posterior-laterally,5posteriorly and one laterally.Conclusion:The sensitivity and specificity of MRI were higher than myelography and CTM.Discography and CTD can ac-curately reflect the pathological changes of discs. |
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| Keywords: | intervertebral disk displacement tomography X-ray computed magnetic resonance imaging |
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