干旱区生态环境知识资源中心(Arid): CT硬膜外造影对腰椎管狭窄症的诊断价值

Arid

	CT硬膜外造影对腰椎管狭窄症的诊断价值
其他题名	Computed tomography epidurography for imaging diagnosis of lumbar spinal stenosis
	冯大雄; 宋跃明
来源期刊	中国脊柱脊髓杂志
ISSN	1004-406X
出版年	2003
卷号	13 期号:7 页码:406-408
中文摘要	目的：探讨硬膜外造影后CT（CT-E）对腰椎管狭窄症的诊断价值及影像特征。方法：对27例腰椎管狭窄症患者行腰椎X线平片及单纯CT检查后再行CT-E检查。CT-E扫描椎体下1/3、椎间隙、椎体上缘平面，结合单纯CT及手术所见行对比分析。结果：CT-E诊断中央管狭窄3例，中央管伴侧隐窝狭窄2例，侧隐窝狭窄16例，神经根管狭窄4例，椎间孔狭窄2例。与手术所见吻合25例，诊断准确率达93%；单纯CT与手术所见吻合23例，诊断准确率为85%。结论：CT-E对腰椎管狭窄症更具有定性、定位诊断作用，可为有限化手术提供依据。
英文摘要	Ob,jective:To exvaluate the clinical value of CT-E (computed tomography epidurography)for imaging diagnosis of lumbar spinal stenosis and analyse the image features.Method:27 oases of lumbar spinal stenosis wore respectively assessed with CT-E and conventional CT for preoperadve diagnosis.The preoperative imaging diagnosis were compared with operation respectively.Result:3 cases of central stenosis,2 cases of central stenosis associated lateral stenosis,16 cases of lateral stenosis,4 cases of nerve root canal stenosis and 2 cases of foramen stenosis were revealed by CT-E with a accurate rate of 93% compared with operation.3 cases of central slenosis,3 cases of central stenosis associated lateral stenosis,2leases of lateral stenosis were revealed by CT with a accurate rate of 85% compared with operation.Conclusion:CT -E is helpful in diagnosing and locating for lumbar spinal stenosis and particularly is complementary when CT or myelography does not reveal the source of the patient’s symptom.
中文关键词	腰椎管狭窄症 ; 诊断 ; 影像学 ; 硬膜外造影CT
英文关键词	lumbar spinal stenosis imaging diagnosis CT-E
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:1254402
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/204600
作者单位	四川大学华西医院骨科, 成都, 四川 610041, 中国
推荐引用方式 GB/T 7714	冯大雄,宋跃明. CT硬膜外造影对腰椎管狭窄症的诊断价值[J],2003,13(7):406-408.
APA	冯大雄,&宋跃明.(2003).CT硬膜外造影对腰椎管狭窄症的诊断价值.中国脊柱脊髓杂志,13(7),406-408.
MLA	冯大雄,et al."CT硬膜外造影对腰椎管狭窄症的诊断价值".中国脊柱脊髓杂志 13.7(2003):406-408.