双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的效果

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Abstract ObjectiveTo explore the effect of double-slice spiral CT combined with X-ray plain film in the diagnosis of lumbar disc herniation.Methods86 cases of patients with lumbar disc herniation in our hospital from March 2014 to March 2016 were selected,who were used double-row spiral CT examination and X-ray examination.The diagnostic value of single diagnosis and combined diagnosis of the two examinations were compared,and the imaging features of lumbar disc herniation were summarized.ResultsCT examination showed that there were 12 cases of lumbar disc L3-4,46 cases of lumbar disc L4-5and 28 cases of lumbar disc L5-S1.Compared with the results of surgery,the coincidence rates of CT diagnosed as extralateral lumbar,pass,lateral and central type were 85.7%,88.9%,96.6%,100.0%respectively.X-ray examination showed that there were 7 cases of lumbar disc L3-4,19 cases of lumbar disc L4-5and 11 cases of lumbar disc L5-S1.Compared with the postoperative results,the coincidence rate of double-slice spiral CT and X-ray plain film examination was 100.0%,96.5%for CT examination and 43.0%for X-ray film examination,of which the combined diagnosis was obviously higher than those of single CT and X-ray plain film,with significant difference(P＜0.05).ConclusionThe diagnostic accuracy of double-slice spiral CT combined with X-ray plain film in the diagnosis of lumbar disc herniation is significantly higher than those of the single diagnostic accuracy,with higher clinical application value.

Key words： Lumbar disc herniation Double-slice spiral CT X-ray examination Diagnostic value

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	Articles by authors
	LIU Jun-zheng
	WANG Kai
	ZHU Hai-long
	ZHOU Zu-de
	ZHU Jian-gui

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LIU Jun-zheng,WANG Kai,ZHU Hai-long, et al. Effect of double-slice spiral CT combined with X-ray plain film in the diagnosis of lumbar disc herniation[J]. 中国当代医药, 2017, 24(6): 74-76.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I6/74

[1]	韩巧林，赵卫东.能谱CT及其在腰椎间盘突出症中的临床应用价值[J].国际医学放射学杂志，2014，37（1）：50-53.
[2]	胡声，张国剑.腰椎间盘突出症中医辨证分型与多层螺旋CT相关性探寻[J].中国中医急症，2012，21（8）：1278-1279.
[3]	李木生，钟唐力，林华，等.148例螺旋CT诊断腰椎间盘突出症并发椎管狭窄临床研究[J].中国地方病防治杂志，2014，29（8）：348.
[4]	张锋，王为刚，周钢，等.CT扫描与X线平片在消防员腰椎间盘突出症中的诊断价值[J].山西医药杂志，2016，45（18）：2132-2133.
[5]	崔杰，成科，张宇.CT在腰骶椎椎间盘突出的临床应用价值[J].医学影像学杂志，2014，24（1）：164-166.
[6]	张雪冰，刘永，李玉祥，等.探讨CT联合X线扫描诊断腰椎间盘突出症的临床效果[J].中国实验诊断学，2016，20（5）：839-840.
[7]	柯东港.腰椎间盘突出症发病危险因素及CT影像特点分析[J].中国CT和MRI杂志，2016，14（6）：133-136.
[8]	杨勇，王建军.CT平扫与X线平片诊断腰椎间盘突出症价值[J].中华实用诊断与治疗杂志，2011，25（8）：788-789.
[9]	王唯成，翟昭华.腰椎间盘突出症X线诊断价值及与CT的对比[J].川北医学院学报，2013，28（5）：414-417.
[10]	Vorobeychik Y，Sharma A，Smith CC，et al.The effectiveness and risks of non-image-guided lumbar interlaminar epidural steroid injections：a systematic review with comprehensive analysis of the published Data[J].Pain Med，2016，17（12）：2185-2202.
[11]	方鹏，常万松，郝润春，等.X线机、CT设备联合应用诊断腰椎间盘突出症效果评价[J].医疗卫生装备，2013，34（3）：72-73.
[12]	Casa NL，Casa Junior AJ，Melo AV，et al.CASE-REPORT Association between an ACAN gene variable number tandem repeat polymorphism and lumbar disc herniation：a case control study[J].Genet Mol Res，2016，15（4）：347-349.
[13]	钟小兵.腰椎间盘突出的X线、CT与MRI诊断回顾性分析[J].贵州医药，2012，36（6）：562-563.
[14]	赵彦忠.低剂量数字化X线摄影在腰椎间盘突出诊断中的应用价值[J].实用临床医药杂志，2014，18（3）：139-140.
[15]	刘永，滕云.腰椎间盘突出MRI与CT诊断的临床价值分析[J].医学影像学杂志，2016，26（9）：1734-1736.