腰椎管狭窄的CT诊断价值分析  

The Value Analysis of CT Diagnosis for Lumbar Spinal Stenosis

作　　者：胡雪珍[1] 李正军[1] 陈虎[1] 于小利[1] 

机构地区：[1]江苏省中医院,江苏南京210029

出　　处：《中国医学创新》2014年第28期123-126,共4页Medical Innovation of China

摘　　要：目的：探讨腰椎管狭窄的CT诊断价值。方法：回顾性分析77例腰椎管狭窄患者的CT表现。结果：椎间盘突出41例（其中L3-4 17例,L4-5 37例,L5-S1 32例）,伴有左侧突21例,右侧突18例,23例L3-S1椎小关节增生、内突,35例黄韧带肥厚,两者并存19例;腰椎间盘突出伴有黄韧带肥厚27例,L3-S1椎体后缘骨内软骨结节15例（其中L4 12例）;L3-5椎体压缩性骨折7例,L4-5椎体滑脱14例（其中L4 9例,L5 5例）。结论：CT检查可以明确腰椎管狭窄的原因、部位、程度、范围,为临床提供重要的诊断依据。Objective：To investigate the value of CT diagnosis for lumbar spinal stenosis.Method：CT images of 77 patients with lumbar spinal stenosis were retrospectively analyzed.Result：The analysis in the 77 patients with lumbar spinal stenosis showed that there were 41 cases with lumbar intervertebral disc protrusion（among them 17 cases were L3-4,37 cases were L4-5,32 cases were L5-S1）,21 cases with the left side,18 cases on the right side,23 cases were L3-S1 vertebral hyperplasia of small joints and inside,35 cases with the lumbar yellow ligament hypertrophy,both coexist in 19 cases,27 cases were lumbar disc with yellow ligament hypertrophy,15 cases with L3-S1 of lumbar posterior marginal intraosseous cartilaginous node（12 cases were L4） and 7 cases with L3-5 of vertebral compression fracture.L4-5 spondylolisthesis in 14 cases（including 9 cases were L4,9 cases were L5）.Conclusion： CT examination can clear the reason,position,degree,scope of lumbar spinal stenosis,provide an important basis for the diagnosis of clinical.

关 键 词：腰椎 椎管狭窄 断层摄影 X线计算机 

分 类 号：R687.3[医药卫生—骨科学]