基础医学脊髓造影与CT脊髓造影对退行性腰椎侧凸性椎管狭窄的诊断价值/宋海峰，邱贵兴◊,吴志宏，王以朋，仇建国，沈建雄，费琦.汪学松，赵丽娟ValuesofmyelographyandCTmyelographyinthediagnosisofdegenerativelumbarstenosiswithscoliosisSongHai-feng,QiuGui-xing,WuZhi-hong,WangYi-peng,ZhangJian-guo,ShenJiarnxiong,FeiQi,WangXue-song,ZhaoLi-juanAbstractAIM:Toassessvaluesofmyelographyandcomputedtonographymyelography(CTM)in【hediagnosisofdegenerativelumbarstenosiswithscoliosis(DLSS)andcomparewithMR1scanningandoperativefindings・METHODS:Ninety-sevencasesofDLSSadmittedinDepartmentofOrthopaedics,BeijingUnionHospitalfromJanuary2004toJune2007wereselected・AllpatientsunderwentmyelographyandCTM,ofwhich43undergoneMRimagingatthesametime.Imagcologyfirxlingswereanalyzedtoidentifylumbarstenosissites,andextentofdisease,andcomparedwithMRIandoperativefindings・RESULTS:①ThemyelographyandCTMrevealedlhalfactorsconlribulingtoDLSSincludednotonlyzygapophysialjointhypeqplasy.hypertrophicligamentumflavumandintervertebraldiscprotrutionwhichresultedindegenerativelumbarspinalstenosis,butalsozygapophysialjointsemiluxationandpedicleshift.©Comparedtooperativefindings,diagnosticaccuracyrateofmyelographyandCTMwas87.6%and92.8%,anddiagnosticaccuracyrateofcombinationofmyelographyandCTMraisedto95.3%・ThediagnosticaccuracyrateofmyelographyandCTMwassimilarforDLSSwithdiHerenlcurves・©ComparedloMRI.thediagnosticaccuracyrateofmyelographyandCTMwashigherforDLSSwithgreatcurve・CONCLUSION:MyelographyinconjunctionwithCTMshowshighdiagnosticaccuracyrateofDLSS,andsuperiortoMRIforgreatcurvemagnitude・SongHF.QiuGX,WuZH,WangYP,ZhangJG,ShenJX,FeiQ、WangXS,ZhaoU.ValuesofmyelographyandCTmyelographyinthediagnosisofdegenerativelumbarstenosiswithscoliosis・ZhongguoZuzhiGongchengYanjiuyuLinchuangKangfu2008;12(13):2455-2458(China)[www.zglckf・com/zglckf/ejournal/uphles/0&13/13k-2455(ps)・pdf]摘要目的：探讨脊髓造影与CT脊简造影在退行性腰椎侧凸性椎管狭窄(dcgcncmiivclumbarsicnosiswithscoliosis,DLSS)中的诊断价值，并与MRI扫描.手术所见相比较。方法：选择2(X)4-01/2007-06在北京协和医院骨科收治.并经手术证实的DLSS患者97例。所冇患者均经衍磁造影和CT脊的造影观察，其中43例同时行MR【打描。通过脊简造影与CT脊筋造影的影像进行分析，确定其椎管狭窄部位.病变范围和病变程度，并与术中所见及MRI比较。结果：①脊髓造彩与CT脊髓造彩的表现：DLSS对硬膜炭或神经根的压迫较退行性腰椎管狭窄症复杂，除与关节突肥大増生.黄韧带肥厚.椎间盘退变突出有关外，还与关节突关节半脱位、椎弓根移位压迫神经根等因素有关。②与手术所见的符合率：脊谶造如CT脊简造影的诊断正确率分别为87.6%和92.8%,二者联合应用的诊断正确率为95.3%；对于不同弯度的DLSS,二者的诊断正确率无明显差界。③与MRI比较：在弯度较大的DLSS中，脊髓造影与CT脊髓造影的诊断止确率高于MRL结论：脊简造影和与CT脊的造影的联合应用于DLSS诊断正确率较高，对于弯度较大的DLSS诊断正确率优于MRL关键词：腰椎管狭窄；竹柱侧凸；脊髓造影：影像分析；生物医学工程宋海峰,邱贵兴,吴志宏,王以朋,仇建国,沈建雄，费琦,汪学松,赵丽娟.脊觸造影与CT脊術造影对退行性腰椎侧凸性椎管狭窄的诊断价值[J]•中国组织工程研究与临床康复,2008,12(13):2455-2458[www.zglckf.com/zglckf7ejournal/upfiles/08-13/13k-2455(ps).pdf]>>本文导读vvDepartmentofOrtho-paedics,BeijingUnionHospitalChineseAcademyofMedicalScience&PekingUnionMedicalCollege,Beijing100730.ChinaSongHai-fcng☆,Studyingfordoctorate.Attendingphysician.DepartmcnlofOrthopaedics,BeijingUnionHospital.ChineseAcademyofMedicalScience&PekingUnionMedical...