硬膜外造影后MSCT扫描对腰神经根管狭窄的诊断研究.pdfVIP

? 567 ? 文章编号， 1008--5572(2009)08一0567-05 破膜外造影后 MSCT 扫描对眼神经根管狭窄的诊断研究 崔;住 1·2 ，林欣 i ，又浩l.孙永肯2 ，混智勇 a (1.首都医科大学附属北京天坛医院骨科.北京 100050;2. 首都医科大学教学隘陇北京电力医院骨科，北京 100073 , 3. 首都原科大学教学民院北京电力陈院放射科.北京 100073) 摘要:目的 分析硬艘外造影后多排螺旋 C1‘扫描 (epidurography and multi~piral C丁 scannin日 .MSCTE)的影像 学特点和对腰神纯根管狭窄的诊断作用。方法 自 2007 年 12 月夜 2008 年 10 月共完成 r MSCTE 检查 29 例 .26 例 完善了 C丁、M阳和 MSC丁览了1项检饶 .26 例rf1 23 例进行了手术撩查。分析 M以:n: 的影像学特点，并与 C丁和 M阳 影像进行对比研究.对 C丁、 MRI 相 MSCTE 五种影像诊断试验评价的灵敏皮、特异度和总符合布进行统计学分析。结 果 MSCTE 能很好地兼顾腰神经很管的骨与软组织界限。 CT ， MR1 和 MSCT应诊断神给根管狭窄的巢敏度依次为 76.5% 、 88.2% 和 94.1 %;特异度依次为 60.0% 、 60.0% 相 80.0% ;总的符合嘟依次为 72.7% 、 8 1. 0% 和 90.9% ? MSC丁E 对腰伸经根管狭窄诊断灵敏陵、特异度和总符合率高于 CT 和 MRI 。结论 MSCTE 有其蚀特的影像学特点， 在诊断眼神纯根管狭窄方削优于 CT 和 MRl， 关键询:锁膜外造影;多排螺旋 C丁扫描:冲经根管狭窄 F腰椎 中团分类号 :R68 1. 5+7 文献标识码:日 The Study of Epidurography and Multispiral CT Scanning Examination in the Diagnosis of Lumbar Nerve Root Canal Stenosis CUI Zhun J. 2 .LIN Xin 1 ? WANG Hao ,et al (1. Department of Orthopedics. ?eijing Tiantan Hospital.Capital Medical U niversíty. Be ijing 100050 .China ; 2. Depart- ment of Orthopaedíc Surgery. Beijíng Electric Power Hospital. Capital Medical University Teaching Hospital. Beíííng 100073.China) Abstract: Objectlve To investígate imaging features of epiduro日raphy and multispiral CT scanning (MSCγE) and the role in diagnosis of lumbar nerve rool canal stenosís. Methods There were 29 patients performed 叩ídurogra- phy and multíspiral CT scanníng from December 200710 October 2008 .and among them 26 patients performed all the three examinations of CT .MRI and MSCTE. 23 patients were undergone surgical trealment. Compared with CT and MRI. the ímaging features were investigated .and the sensitivity.specificity and total consistent rate were analyzed. Results MSCTE show the extent of 50ft tissue as well as bone. 丁he sensitivity of CT .MRJ and MSCTE is 76.5%. 88.2% and 94.1% .specifjcity 60. 0% .60.0% and 80.0% .total consistent rate 72.7% .8 1. 0% and 90.9% respective嗣 ly for diagn。但 is o