腰椎间盘CT扫描诊断腰椎峡部裂并脊椎滑脱的应用研究  

The studay of intervertebral disc CT scan in diagnosis of spondylolysis and spondylisthesis

作　　者：任有宽 郎凤东 任芳 Ren Youkuan Lang Fengdong Ren Fang;

机构地区：山东省垦利县人民医院,257500

出　　处：《中外健康文摘：临床医师》2008年第9期6-9,共4页

摘　　要：目的:探讨腰椎间盘常规CT扫描对腰椎峡部裂并脊椎滑脱的诊断价值及临床意义,提高本症的检出率及诊断准确率。方法:腰椎间盘CT扫描,分别测取正常对照组100例和病变组80例腰4及腰5椎体下缘层面椎管矢状径与椎间孔矢状径,将测得数据输入SPSS12.0统计分析。同时对58例椎间盘滑移征及50例弥漫性椎间盘突出或膨出所致椎体后方椎间盘影进行分析。结果:正常对照组腰5椎体下缘层面与腰4椎体下缘比较,椎管矢状径平均减小0.849±2.226 mm,椎间孔矢状径平均减小0.154±1.650mm,差异均无统计学意义(t=1.316和0.139,P>0.05)。病变组腰5滑椎椎体下缘层面与其上住椎体下缘比较,椎管矢状径平均增大8.050±2.332mm,椎间孔矢状径平均增大6.937±1.686mm,差异都有统计学意义(t=30.869和36.794,P<0.05)。58例出现椎间盘滑移征、22例出现双边征。椎间盘滑移征与椎间盘突出或膨出所致椎后缘后方椎间盘影差异也有统计学意义(x~2 =104.06和92.95,P<0.05)。结论:腰椎间盘CT扫描时腰5椎体下缘层面与腰4椎体下缘比较,椎管矢状径显著增大、椎间孔矢状径显著...Purpose:To explore the diagnostic value and character of intervertebral disc CT scan through the Quantitative analysis of spondylolysis and spondylisthesis,promote the rates of diagnosis and examining right.Methods:Intervertebral disc CT scan was performed,the saggith diameters of lumbar vertebral canal and intervertebral hole were measured at the level of inferior margin of L4 and L5 vertebral body in 100 normal persons and 80 abnormal cases respectively.The data were analyzed statistically by SPSS12.0 sof...

关 键 词：腰椎 椎间盘 矢状径 脊椎滑脱症 X线计算机体层 

分 类 号：R681.5[医药卫生—骨科学;医药卫生—临床医学;医药卫生—外科学]