腰椎ct与术后诊断不符原因探讨（The reason of discrepancy between lumbar CT and postoperative diagnosis）.doc

腰椎ct与术后诊断不符原因探讨（The reason of discrepancy between lumbar CT and postoperative diagnosis） The reason of discrepancy between lumbar CT and postoperative diagnosis Update Date: 2010-12-16 Wei Yanyun 37 cases of CT in 360 cases of lumbar CT were analyzed, and the causes of the discrepancy between the diagnosis and the operation were analyzed. It is hereby reported as follows. Clinical data and methods 1. general data: male 21 cases, female 16 cases, age 20~76 years old. The preoperative CT diagnosis of lumbar disc herniation in 29 cases, the diagnosis of schwannoma in 2 cases after surgery, root canal stenosis and yellow ligament hypertrophy in 4 cases, 6 cases of disc bulging, no abnormal 1 cases, 3 cases of nerve root inflammation, spinal stenosis with yellow ligament hypertrophy in 9 cases, 4 cases of epidural fibrous band compression. Lumbar spinal stenosis and lumbar spondylolisthesis with prominent 4 cases, confirmed after operation are also prominent. 2. method: this group all uses continuous epidural anesthesia, prone position after the middle approach. The intervertebral disc herniation with spinal or root canal stenosis, reserve the intervertebral joint laminectomy or total laminectomy excision, with 110 degrees of spinal decompression laminectomy rongeur, root canal stealth expansion and decompression of the nerve root; pure prominent persons, for the open window excision. The author emphasized: (1) the conventional X-ray plain film, CT, myelography, surface location before operation; (2) retain the intervertebral joint and decompress thoroughly, the routine exploration of the root canal with neural stripping ion, catheter with close distance vertebral exploration; (3) when the condition is necessary and feasible MRI examination. Result All the patients were interviewed for 6~108 months. The therapeutic evaluation criteria were divided into four grades: excellent in 13 cases, accounting for 35.1%; good in 18 cases, accounting for 48.6%; can be 6 cases, accoun