用远红外热像图诊断腰椎间盘突出症的探讨  

Diagnosis of lumbar disc herniation with far-infrared thermal graphs

作　　者：李自立[1] 赵敏[1] 高安危[1] 刘云萍[1] 杨玉珍[1] 

机构地区：[1]北京军区总医院,北京100700

出　　处：《中国骨伤》2001年第9期539-540,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的　探讨用远红外热像图诊断腰椎间盘突出症的价值。方法　对 10 0例正常人和 6 6例腰椎间盘突出症患者的红外热像图表现进行对比分析 ,部分病例结合CT、MRI及CEP检查进行分析。结果　正常人腰骶及双下肢皮肤温度均匀一致 ,两侧对应点温差 <0 2℃ ;腰椎间盘突出症患者 :下腰部菱形窝温度增高 ,高于正常皮温 0 6℃～ 2 .6℃ ,平均 1 2℃± 0 4℃ ,有 30例热区偏向患侧 ,患肢温度低于健肢 0 3℃～ 0 .6℃ ,平均 0 4℃ ,健 /患肢直径比大于 1。结论　远红外热像图对诊断腰椎间盘突出症。Objective To evaluate the value of far-infrared thermal graphs for the diagnosis of lumbar disc herniation(LDH).Methods The far-infrared thermal graphs of 100 normal individuals and 66 patients with LDH were used for a comparative study.Results The skin temperatures of lumbosacral and bilateral lower extremities of normal persons were homogeneous,and the temperature difference of corresponding poits on both sides was less than 0.2 degree C.The temperature of rhomboid fossa of inferior lumbar in patients increased and was 0.6 degree C to 2.6 degree C more than that of normal temperature,with an average of 1.2 degree C to 0.4 degree C.The thermal region of 30 cases were closed to affected part.The temperature of affected part of the patient was 0.3 degree C to 0.6 degree C lower than that of normal part,with an average of 0.4 degree C.The diameter ratio between affected part and normal part was more than 1.Conclusion The far-infrared thermal graphs is of highly valuable for the diagnose of LDH and also useful for the evaluation of the clinical results.

关 键 词：椎间盘移位 计算机辅助图像解释 红外线 诊断 

分 类 号：R681.53[医药卫生—骨科学]