脊髓造影与CT 脊髓造影对退行性腰椎侧凸性椎管狭窄的诊断价值.docVIP

脊髓造影与CT脊髓造影对退行性腰椎侧凸性椎管狭窄的诊断价值☆◇ 宋海峰，邱贵兴◇，吴志宏，王以朋，仉建国，沈建雄，费 琦，汪学松，赵丽娟 Values of myelography and CT myelography in the diagnosis of degenerative lumbar stenosis with scoliosis Song Hai-feng, Qiu Gui-xing, Wu Zhi-hong, Wang Yi-peng, Zhang Jian-guo, Shen Jian-xiong, Fei Qi, Wang Xue-song, Zhao Li-juan Abstract AIM: To assess values of myelography and computed tomography myelography (CTM) in the diagnosis of degenerative lumbar stenosis with scoliosis (DLSS) and compare with MRI scanning and operative findings. METHODS: Ninety-seven cases of DLSS admitted in Department of Orthopaedics, Beijing Union Hospital from January 2004 to June 2007 were selected. All patients underwent myelography and CTM, of which 43 undergone MR imaging at the same time. Imageology findings were analyzed to identify lumbar stenosis sites, and extent of disease, and compared with MRI and operative findings. RESULTS: ①The myelography and CTM revealed that factors contributing to DLSS included not only zygapophysial joint hyperplasy, hypertrophic ligamentum flavum and intervertebral disc protrution which resulted in degenerative lumbar spinal stenosis, but also zygapophysial joint semiluxation and pedicle shift. ②Compared to operative findings, diagnostic accuracy rate of myelography and CTM was 87.6% and 92.8%, and diagnostic accuracy rate of combination of myelography and CTM raised to 95.3%. The diagnostic accuracy rate of myelography and CTM was similar for DLSS with different curves. ③Compared to MRI, the diagnostic accuracy rate of myelography and CTM was higher for DLSS with great curve. CONCLUSION: Myelography in conjunction with CTM shows high diagnostic accuracy rate of DLSS, and superior to MRI for great curve magnitude. Song HF, Qiu GX, Wu ZH, Wang YP, Zhang JG, Shen JX, Fei Q, Wang XS, Zhao LJ.Values of myelography and CT myelography in the diagnosis of degenerative lumbar stenosis with scoliosis. Zhongguo Zuzhi Gongcheng Yanjiu yu Linchuang Kangfu 2008;12(13):2455-2458(China)