摘要
采用非离子型碘水造影剂Amipaque或Omnipaque实施200例腰椎管伸屈动态造影,对硬膜囊矢状径的变化做了测量。依测量结果对其中167例病人分别作出椎管狭窄(伸屈位矢状径差值为6.87±3.54mm)和绝对狭窄症(差值为7.60±4.74)的影像学诊断,经手术证实,诊断符合率为92.9％。笔者认为伸屈动态脊髓造影对诊断腰椎管狭窄症有其独到的优点。
Flexion-extension lateral myelography was performed in 200 cases with less toxic water-soluble contrast medium-amipaque or omnipaque, and sagittal diameter of dural sac was measured. 167 cases of them were divided into two groups according to the difference of sagittal diameter in flexion-extension position: lumbar spinal stenosis (the difference 6.87±3.54mm) and absolutely stenosis (the difference 7.60±4.74mm). The diagnosis of 92.9% cases were confirmed by operation. Our condusion is that the flexion-extension lateral myelography is of great significancet for the diagnosis of lumbar spinal stenosis.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1993年第2期110-113,共4页
Medical Journal of Chinese People's Liberation Army
关键词
椎管狭窄
脊髓造影
诊断
Lumbar spinal stenosis
Myelography
Diagnosis
