标题：腰椎间盘突出症CT影像检查及体征关联性研究

      作者：方 兵
    （成都市第二人民医院影像科，四川 成都 610017）

      卷次： 2014年25卷5期

      【摘要】 目的 通过对腰椎间盘突出症CT影像表现和临床体征表现的对比分析，探讨二者之间的关联
性。方法 选择我院 2010年 1月至 2012年 12月收治的腰椎间盘突出症患者 132例，所有患者均采用单排螺旋
CT机行CT扫描，对CT影像中许莫氏结节、髓核是否经骨突出、髓核病变情况、矢状径大小、硬膜囊和神经根受
压情况等多个指标进行检测分析。结果 132例患者的临床症状严重程度在许莫氏结节、经骨突出情况及矢状
面髓核突出大小等CT影像指标中分布差异均无统计学意义(P>0.05)。而髓核情况、髓核密度、髓核在水平面及
额状位突出的大小和神经根受压方式等引起的症状体征严重程度的大小差异有显著统计学意义(P<0.01)。硬膜
囊前后径越大，患者腰椎间盘突出症越严重，而矢状径越小，患者腰椎间盘突出症越严重(P<0.05)。结论 腰椎
间盘突出症CT图像表现和患者临床症状之间存在关联性。

      【关键词】 腰椎间盘突出症；CT；体征；关联

      【中图分类号】 R681.5+3 【文献标识码】 A 【文章编号】 1003—6350（2014）05—0679—03


Study on the correlation between the CT imagings and the signs of lumbar disc prolapse.
FANG Bing. Department
of Imaging, The Second People's Hospital of Chengdu, Chengdu 610017, Sichuan, CHINA

【Abstract】 Objective To study the correlation between CT imagings and signs of lumbar disc through analy-
sis and comparison. Methods One hundred and thirty-two patients of lumbar disc herniation in our hospital from Jan-
uary 2010 to December 2012 were enrolled in the study. All the patients underwent CT scan. The nucleus pulposus,
Schmorl's nodule, bony prominences, nucleus lesions, sagittal diameter, dural sac and nerve root compression were an-
alyzed. Results There was no significant difference in severity of clinical symptoms in CT imaging indexes includ-
ing Schmorl's nodules, the bone protruding and sagittal nucleus pulposus herniation size (P>0.05). And there were
significant differences among the size of nucleus, nucleus density, nucleus pulposus induced in the horizontal plane
and the frontal position prominent size and nerve root compression and symptom severity (P<0.01). The lumbar
disc herniation was more serious as the dural sac diameter was greater or the sagittal diameter was smaller (P<0.05).
Conclusion The CT imagings are associated with the signs of lumbar disc prolapse.