ISSN 1004-4140
CN 11-3017/P
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.
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.
QIU Qi-liang. Clinical and Imaging Analysis of the Causes of Lumbago-leg Pain[J]. CT Theory and Applications, 2009, 18(2): 92-98.
Citation: QIU Qi-liang. Clinical and Imaging Analysis of the Causes of Lumbago-leg Pain[J]. CT Theory and Applications, 2009, 18(2): 92-98.

腰腿痛病例临床影像学分析

Clinical and Imaging Analysis of the Causes of Lumbago-leg Pain

  • 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。

     

    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 tumor, 3 cases of metastases tumor and 8 cases of ankylosing spondylitis were diagnosised by MRI.Conclusion:The causes of Lumbago-leg pain are very complex, and the most common cause is lumbar disc protrusion.X-ray can be used as an necessary technique, MRI should be used as the preferred method, especially in cases of tumor in vertebral canal,if the patients' conditions does not been permitted to MRI, CT can substitute for it, CT scan has higher diagnostic value to the lumbar disc protrusion.

     

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