腰椎间盘突出的CT诊断与临床分析  

Herniated Lumber Disc of CT Diagnosis and the Findings of Clinical

作　　者：庄传芝[1] 龙运祥 

机构地区：[1]成都市中西医结合医院,四川成都610017 [2]成都市第9人民医院,四川成都610015

出　　处：《中外医疗》2009年第21期157-158,共2页China & Foreign Medical Treatment

摘　　要：目的了解腰椎间盘突出的CT诊断与临床表现,进一步提高对该病的认识。方法回顾分析63例腰椎间盘突出患者的临床特点及CT检查结果。结果CT诊断腰椎间盘的准确率为90.2%,63例患者中有82个椎间盘突出,特征性的CT表现有:(1)腰椎间盘后缘局灶性软组织密度块突入椎管;(2)突出髓核的滑移及碎块形成;(3)突出髓核的钙化或骨化。23例病程短,症状轻,保守治疗有效,38例病程长,症状重,保守治疗效果不明显。结论CT检查对腰椎间盘突出的诊断及临床选择治疗方案有重要参考价值。Objective To study the herniated lumber disc of CT diagnosis and the findings of clinical and to learn more about this disease.Methods He CT results of 63 neonates with herniated lumbar disc and the clinical charecteristics were analysed.Results The accuracy of CT diagnosis confirmed was 90.2%,there were 82 herniated lumber discs in the 63,the characterstic CT features were： （t）protrusion of a soft tissue density mass from posterior annulus into the canal（2）displacement of exterued disc segment;（3）partial calcification or ossification of the herniated disc.23 patients have effects with nonoperative treatment,38 patients have no mouch more effects with nonoperative Conclusion CT examination has an important reference value in diagnosing and predicting prognosis of herniated lumber disc.

关 键 词：椎间盘突出 腰椎 断层摄影术 X线计算机 

分 类 号：R681.53[医药卫生—骨科学]