假性腰椎间盘膨出的CT检查所见.pdfVIP

30 Vol. 30, No. 1 2006 1 HEI LONG JIANG MEDICAL JOURNAL Jan. 2006 25 CT 高 巍, 刘利国 ( , 156100) : 目的 研究因椎体因素致假性腰椎间盘膨出的CT 征象方法 对87例腰椎间隙上下椎缘平面 大 不一的CT 扫描图像进行分析在CT 轴位图像上测量椎间盘与相邻椎缘平面最大横径和在定位像上 测量出的椎间盘不大于相邻较大椎缘平面, 且无腰椎间盘膨出的征象结果 87 例中, 80 例L4 椎体下平面 L 椎体上平面7 例L 椎体下平面 L 椎体上平面结论 CT 诊断腰椎间盘膨出时, 应注意膨出的椎 5 3 4 间盘与相邻椎体平面大 的比较, 以排除假性腰椎间盘膨出 : 医学影像学;X 线电子计算机; 体层摄扫描; 椎间盘; 假性膨出 : 3201150 : R4453 : B : 1004- 5775( 2006) 01- 0025- 03 CTFindings of Pseudo- bulging of Lumbar Intervertebral Disc GAO Wei, LIU Li- g o ( The Cent er H osp ital of FuJin City , Fuj in 156100, China ) Abstract:Objective To disc ss CT manifestations of pse dob lging of l mbas of l mbar interevtebral disc d e to the size factors of adjacent vertebral body plane. Method Ct findings of 87 l mbar intervetebral disc, which adjacent verte- bral bodies had different sized margin planes, were retrospectively analyzed. On axial CT imagesthe maxim m transverse dimension of the intervertebral disc and the adiacentt vertebral margin planes. as ewll as the longit dinal height of the ad- jacent vertebral bodies on scanogram,were meas red. The res ltswere compared. Results Sixty- seven patientswere d-i agnosed as pse do- b lging,who showed the same Ct signs as tr e l mbar intervertebral disc b lging, b t the size of the b lging disc was smaller than the adjacent vertebral margin planes and the patients showed no symptoms and signs of disc b lging clinically. Conclusions Sehen diagnosing disc b lging, the size of the q estioned disc sho ld be compared with the size of the adjacent vertebral margin planes in order to excl de pse do- b lging of the l mbar intervertebral disc. ey words:L mbar vertebra; Intervertebral disc; Ps