腰椎间盘膨隆与间盘疝的相关性研究  

The relation of bulging disc and herniated disc

作　　者：娄明武 王英久[1,2] 徐毅伟 王雅琴[1,2] 刘健[1,2] 汪一[1,2] 

机构地区：[1]深圳市龙岗区第二人民医院CT室,白求恩医科大学附属第一医院CT科,吉林市微型汽车厂职工医院 [2]吉林医学院附属医院CT科

出　　处：《中华医学杂志》1995年第8期498-500,T047,共4页National Medical Journal of China

摘　　要：为研究腰椎间盘膨隆与间盘疝的相关性，应用ＣＴ和病理学技术观察了２３例尸体中１５个膨隆间盘，并分析了３８６例间盘退行性变的ＣＴ影像表现。在膨隆间盘的切片上见到纤维环的横行、环形或（和）放射性撕裂及髓核碎裂；在临床病例的ＣＴ影像上发现了同一间盘上膨隆和疝并存的现象（间盘膨隆伴疝）；并探讨了它与间盘膨隆和间盘疝的相互关系，认为间盘膨隆伴疝应列为椎间盘退行性病变的类型之一。ifteen lumbar bulging discs from 23 cadaverswere examined by CT and histological technique, and386 degenerating lesions in lumbar discs were studied ifrt has any relationship with degenerative diseases of in-tervertebral discs. Histologically, trasverse, concentricor/and radial tears were found in some anulus fibrosusof bulging discs. Clinically, the coexistence of bulgingand hernia was noticed in a lesioned disc, we named itas “bulging and herniated disc”, and the relation ofwhich with bulging disc and herniated disc was disc-cussed. This finding will change a well-known opinionthat hernia would not occur in a bulging disc. Herebulging and herniated disc would reasonably be consid-ered as one of degeneerative diseases of intervertebraldiscs.

关 键 词：腰椎 椎间盘膨隆 间盘疝 相关性 

分 类 号：R681.530.2[医药卫生—骨科学]