腰椎间盘膨出和突出的CT分型(附197例分析)  

Lumbar Intervertebral Disc Bulge and Herniation Classification of CT Findings

作　　者：黄正林[1] 

机构地区：[1]桂林医学院附属医院放射科

出　　处：《实用放射学杂志》1998年第7期419-421,共3页Journal of Practical Radiology

摘　　要：目的：通过１９７例腰椎间盘病变的分析，探讨ＣＴ影像诊断的分型。方法：对Ｌ３～Ｓ１椎间盘进行常规ＣＴ扫描，扫描角度与椎间盘平行。结果：椎间盘膨出６４例，椎间盘突出１３３例。膨出类型可分为均匀型、不均匀型。突出类型可分为：中央型、旁侧型、孔外型、Ｓｃｈｍｏｒｌ结节型。前三型尚见隆起、破裂、游离亚型改变。结论：腰椎间盘病变ＣＴ分型诊断对治疗方法选择、手术方案制定意义重大。Objective:To study the classification of CT images based on the analysis of 197 cases with lumbar interverbral disc disease.Methods:L3～S1 lumbar interverbral disks of 197 cases were examined by CT scan with an angle parallel to disc.Results:Disc bulgc in 64 cases and disc herniation in 133 cases were found.The types of bulge were as follows:homogenous and non-homogenous tpe disc herniation were divided into center,side,out of hole and Schmorl tubercle type.while swelled,ruptured and dissociated sub-types could be classificatied besides Schomorl tubercle.Conclusion:The classification of CT images of lumbar intervertebal disc disease is of significance for designing the plan of treatment.

关 键 词：腰椎 椎间盘膨出 椎间盘突出 分型 CT 

分 类 号：R681.53[医药卫生—骨科学] R816.8[医药卫生—外科学]