腰椎间盘病变的CT、MRI影像表现回顾及病因病理分析  

The Analysis of Lumbar Disc Disease With CT,MRI and Pathology

作　　者：江海燕[1] 张世科[1] 吴慧忠[1] 

机构地区：[1]广东省惠州市惠阳区人民医院放射科,广东惠州516211

出　　处：《医疗装备》2010年第11期30-32,共3页Medical Equipment

摘　　要：目的:研究CT与MR I在诊断腰椎间盘病变的临床意义。方法:收集我院2004年3月以来经检查诊断为腰椎间盘病变的485例腰椎间盘病变进行回顾性分析CT与MR I资料。结果:资料显示椎间盘病变年轻人亦常出现,比较椎间盘突出在CT和MR I影像表现的诊断价值无明显差异,CT对椎体及附件骨质结构的增生、间盘内积气、韧带钙化显示有优势;MR I可以使神经根水肿、突出物与周围结构关系、脂肪间隙及硬膜囊变形等充分显示。符合病理改变。结论:CT与MR I有互补作用,CT结合临床可为首选检查,MR I是目前诊断腰椎间盘突出的最佳检查手段,在CT检出结果与临床不符时应进一步行MR I检查。Objective：To research The clinical significance of diagnosis of lumbar disc disease with CT and MRI.Method：Collected in our hospital in March 2004 has been diagnosed as lumbar disc disease of the 485 cases of lumbar disc disease were retrospectively analyzed CT and MRI data.Results：Data show that young offenders are usually disc disease occurs,compared CT and MRI images in the disc′s performance was no significant difference in diagnosis,CT of the vertebral bone structure of the proliferation and accessories,product gas within the discs,ligament calcification showed advantages;MRI can make the nerve root edema,prominence and relationship with the surrounding structure,space and the dural sac deformation fat full display.Consistent with pathological changes.Conclusion：CT and MRI are complementary to each other.CT combined with clinical examination for the first choice.MRI is the diagnosis of lumbar disc best inspection tools detected in the CT results and discrepancies and should be investigated in further clinical MRI examination.

关 键 词：腰椎间盘病变 MRI CT 诊断 

分 类 号：TH774[机械工程—仪器科学与技术]