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腰腿痛病例临床影像学分析
引用本文:邱其良.腰腿痛病例临床影像学分析[J].CT理论与应用研究,2009,18(2):92-98.
作者姓名:邱其良
作者单位:广东省东莞市石碣医院放射科,广东,东莞,523290
摘    要:目的:分析腰腿痛的病因,探讨影像学检查对腰腿痛病因诊断的作用。方法:对198例腰腿痛病例的影像学资料进行回顾性分析。结果:X线平片显示腰腿痛病因阳性率为89.4%;CT诊断阳性率为96.7%,其中腰椎间盘突出症144例;在X线及CT诊断阴性结果25例中,MRI诊断椎管内肿瘤2例,转移瘤3例,早期强直性脊柱炎8例。结论:腰腿痛病因复杂,腰椎间盘突出为最常见的病因,X线平片可以作为必不可少的筛选方法,MRI应作为首选的方法,特别是对椎管肿瘤的病例,在条件不许可情况下,CT可以替代MRI进行检查,CT扫描对腰椎间盘突出症有较高的诊断价值。

关 键 词:腰腿痛  CT  X线摄影  MRI

Clinical and Imaging Analysis of the Causes of Lumbago-leg Pain
QIU Qi-liang.Clinical and Imaging Analysis of the Causes of Lumbago-leg Pain[J].Computerized Tomography Theory and Applications,2009,18(2):92-98.
Authors:QIU Qi-liang
Institution:QIU Qi-liang(Department of Radiology,Shijie Hospital of Dongguan City,Dongguan 523290,China)
Abstract:Objective:To analysis of the causes of Lumbago-leg pain,and to explore the roles of imaging modalities for evaluation these diseases.Methods:The clinical and imaging data of one hundred and ninety-eight patients with Lumbago-leg pain were analyzed retrospectively.Results:The positive rate of Lumbago-leg pain is 89.4% by X-ray, CT-positive rate is 96.7%, and there are 144 cases suffered from lumbar intervertebral disc protrusion.Among of 25 cases of negative findings by X-ray and CT, 2 cases of intraspinal t...
Keywords:CT  MRI
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