脑脊液检查对头痛诊断的价值探讨  

Cerebrospinal fluid Examination in the Diagnosis of Headache

作　　者：杨汶华[1] 

机构地区：[1]都江堰市人民医院神经内科,四川都江堰611830

出　　处：《中国卫生产业》2011年第06Z期13-15,共3页China Health Industry

摘　　要：目的探讨脑脊液检查对头痛的诊断、鉴别诊断及治疗方面的临床价值。方法回顾性分析我科室2010年1月至2010年12月住院治疗的98例头痛病人的脑脊液检查情况及其在临床诊治活动中的意义。结果脑脊液检查对器质性头痛诊断的阳性率远远高于头颅CT及MRI。结论腰椎穿刺抽取脑脊液对于临床上不明原因头痛的诊断与鉴别诊断有重要的意义,值得临床推广应用,但必需严格把握腰椎穿刺术的适应证与禁忌证,熟练操作,避免术后低颅压性头痛。Objective To investigate the cerebrospinal fluid of headache diagnosis, differential diagnosis and treatment of clinical value.Methods Retrospective analysis department in January 2010 to December 2010 98 cases of hospitalized patients with cerebrospinal fluid headache and its clinical significance in diagnosis and treatment activities.Results CSF diagnosis of organic headache is much higher than the positive rate of head CT and MRI.Conclusion lumbar puncture for cerebrospinal fluid taken unexplained clinical diagnosis and differential diagnosis of headache has an important significance, worthy of clinical application, but must strictly control the indication of lumbar puncture and contraindicatious, skilled operation, .to avoid postoperative lower cranial pressure headache.

关 键 词：脑脊液 头痛 诊断 

分 类 号：R446.14[医药卫生—诊断学]