| 冯天有,赵平,梁国跃,高越,王书勤,刘世杰,管晶,周维公,黄卓英,张挽时,龚士明,张连强,徐印祥.腰椎管内突出髓核的临床意义探讨──附44例腰椎间盘突出症患者与73例正常人CT资料的三维分析[J].,2000,(5):347-349 |
| 腰椎管内突出髓核的临床意义探讨──附44例腰椎间盘突出症患者与73例正常人CT资料的三维分析 |
| Clinical Significance on Protruded Nucleus Pulposus: A Comparative Study of 44 Patients with Lumbar Intervertebral Disc Protrusion and 73 Asymptomatic Control in Tridimentional Computed Tomography |
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| 中文关键词: 腰椎间盘突出症 腰脊柱 电子计算机X线扫描 动力学X线摄片 |
| 英文关键词:computed tomography lumbar intervertebral disc protrusion lumbar spine dynamic radiograph |
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| 中文摘要: |
| 目的：探讨突出髓核组织在椎管内空间占位的临床意义。方法：44例腰椎！司盘突出症患者（A组）及73例正常人（B组，其中22例有腰椎间盘突出者为B1组，余为B2组）观察：（1）突出椎间盘CT超薄扫描三维数据；（2）腰椎X线平片及动力学摄片测量数据；（3）分析两组突出髓核组织的体积、表面积、突出髓核椎管内相对占位空间以及腰椎结构和功能等情况的差异和相关性等。结果：正常人群中无症状髓核突出（B1）者高达30，1％，但突出的髓核比患者组（A组）明显要小，其椎管内相对空间占位也较小；患者腰椎结构与功能均不如B1组，但无显著性差异。结论：（1）腰椎管对突出髓核组织的空间占位具有相当的容纳能力，但容纳植限尚无法确定；（2）较大的髓对支突出会减低椎管代偿容纳的可能性，容易引发结构紊乱及神经根刺激。 |
| 英文摘要: |
| To probe the clinical significance of space occupation of lumbar protruded nucleus pulposus (PNP) in vertebral canal. Methods: Materials of tridimentional ultrathin scanning computed tomography (CT), plain and flexion-extension dynamic radiograph on lumbar spine in 44 patients of lumbar intervertebral disc protrusion and 73 asymptomatic subjects (as control, including 22 cases with PNP but without symptoms) were observed, analysed and compared in volume, surface area, relative space occupation of PNP inside spinal canal, structure deformation and mobility of lumbar spine, and their difference and relevance. Results: The rate of asymptomatic lumbar disc protrusion in the control group was up to 30. 1 %. The volume, surface area and relative space occupation of PNP inside spinal canal in the patients group were significantly higher than those in the control group. Although the structure was more de formed and mobility of lumbar spine more limited in the patients group before and after treatment than those in the control group, as compared with those subjects with asymptomatic PNP, the difference was insignificant. Conclusion: (1)Relative space occupation of PNP inside spinal canal could be usually digested by compensation system of spinal column, however, there is no final conclusion reached about the limit of compensation system; (2) Relatively bigger PNP may reduce the structure compensation capability of lumbar spine, which will result, sometimes, in a mechanical disorder of lumbar spine and nerve root irritation. |
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