腰椎管狭窄的CT诊断价值分析.doc

腰椎管狭窄的CT诊断价值分析.doc腰椎管狭窄的 CT诊断价值分析【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 L49 例, L55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。【关键词】腰椎; 椎管狭窄; 断层摄影; X 线计算机 The Value Analysis of CT Diagnosis for Lumbar Spinal Stenosis/HU Xue-zhen , LI Zheng-jun , CHEN Hu, et al.//Medical Innovation of China , 2014 , 11( 28): 123-126 【 Abstract 】 Objective : To investigate the value of CT diagnosis for lumbar spinal : CT images of 77 patients with lumbar spinal stenosis were retrospectively : 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 pression -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. 【 Key words 】 Lumbar vertebrae ; Spinal stenosis ; Tomography ; X-puted First-author ’s address : Jiangsu Province Hospital of TCM , Nanjing 210029 , China doi : .1674- 腰椎管狭窄是指腰椎体及附件由于外伤、病变等多种原因引起椎管、神经根管、椎间孔狭窄, 并使相应部位椎管内的脊髓、神经受压引起的一系列临床症状[1] 。临床表现为慢性腰痛、蹒跚步态、下肢感觉运动异常及大小便障碍等,以神经源性间歇性跛行为主要特点。近年来报道较少, 为了提高影像科医生诊断水平,加深认识,本文回顾性分析 77 例腰椎管狭窄的 CT 表现,现报告如下。 1 资料与方法 一般资料选取本院 77 例腰椎管狭窄患者,男