不同类型腰间盘突出患者的影像学分析
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【摘要】目的：探讨不同类型腰间盘突出患者的影像学分析，以提高腰间盘突出临床诊断的准确率。方法：选取我院20086月-2010年10月收治的不同类型腰间盘突出患者114例，对其影像学分析过程及效果进行总结。结果：经过影像学分析得出：本组病例中L2-3间盘突出9例(7.9%)，L3-4间盘突出28例(24.6%)，L4-5间盘突出57例(50.0%)，L5-S1间盘突出20例(17.5%)。经过影像学分析，本组114例腰间盘突出患者中，椎间盘突出87例(76.3%)，其中单节段腰间盘突出53例(46.5%)，两个节段突出34例(29.8%)。同时，本组病例在影像学分析中，CT扫描中普遍表现为椎体后缘、中心后半圆形、不规则形软组织密度影，以及前缘与椎间盘相连，密度与椎间盘一致，软组织块影出现率达到100%。结论：与传统X线相比较，在腰间盘突出患者的影像学分析中采用CT诊断的准确率更高，基本可以达到90%以上，值得临床应用和推广。
【关键词】不同类型 腰间盘突出影像学分析
Lumbar disc herniation in patients with different types of imaging analysis
ZHANG Wei
Second People's Hospital Shuangliu County, Sichuan (Sichuan double) 610213)
【Abstract】Objective: To investigate patients with different types of lumbar disc image analysis to improve the accuracy of clinical diagnosis of lumbar disc herniation rate. Methods: In our hospital in October 20086 -2010 May the different types of lumbar disc herniation were treated 114 patients, image analysis process and its results were summarized. Results: Imaging analysis obtained: All the patients in the L2-3 disc herniation in 9 cases (7.9%), L3-4 disc herniation 28 cases (24.6%), L4-5 disc herniation in 57 cases (50.0% ), L5-S1 disc herniation in 20 cases (17.5%). After image analysis, 114 patients in this group of patients with lumbar disc herniation, disc 87 cases (76.3%), in which a single lumbar disc herniation in 53 cases (46.5%), two prominent segments of 34 cases (29.8% .) At the same time, this group of patients in the imaging analysis, CT scan showed vertebral general, center semi-circular, irregular-shaped soft tissue density, and the front is connected with the disc, density, consistent with the disc, soft tissue shadow appears rate of 100%. Conclusion: Compared with conventional X ray, in patients with lumbar disc herniation by imaging analysis of the diagnostic accuracy of CT higher, which can reach 90%, and worthy of clinical application and promotion.
【Key words】different types of imaging analysis of lumbar disc herniation
在现代临床中，腰间盘突出是较为常见的骨科病症之一，多发生于35-50岁的男性。腰间盘突出的临床症状主要表现为：患者在长时间坐立或行走中出现不同程度的局部刺激，以及脊髓、神经根的压迫等。据国内外相关医学研究资料报道：腰间盘突出多发生在患者的第4腰椎与第5腰椎或者第5腰椎与第1骶椎之间，腰间盘急性损伤和退行性病变是致病的主要因素[1]。目前，在国内骨科临床中，对于不同类型腰间盘突出患者的主要采取影像学分析的方法，进而有针对性的制定具体治疗和康复方案 ......
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