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[1]泮智勇,許茂盛,丁雪委,等.雙回波穩(wěn)態(tài)進(jìn)動(dòng)磁共振序列在極外側(cè)型腰椎間盤(pán)突出癥診治中的應(yīng)用[J].中醫(yī)正骨,2013,25(02):16-18.
　PAN Zhi-yong*,XU Mao-sheng,DING Xue-wei,et al.The Application of DESS in the Diagnosis and Treatment of Far Lateral Lumbar Disc Herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(02):16-18.
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雙回波穩(wěn)態(tài)進(jìn)動(dòng)磁共振序列在極外側(cè)型腰椎間盤(pán)突出癥 診治中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年02期
頁(yè)碼:
16-18
欄目:
臨床研究
出版日期:
2013-02-20

文章信息/Info

Title:
The Application of DESS in the Diagnosis and Treatment of Far Lateral Lumbar Disc Herniation
作者:
泮智勇; 許茂盛; 丁雪委; 王世威; 莊汝杰
浙江中醫(yī)藥大學(xué)附屬第一醫(yī)院,浙江 杭州 310006
Author(s):
PAN Zhi-yong*; XU Mao-sheng; DING Xue-wei; WANG Shi-wei; ZHUANG Ru-jie.
*No.1 Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,Zhejiang,China
關(guān)鍵詞:
椎間盤(pán)移位; 腰; 極外側(cè)型 診斷 雙回波穩(wěn)態(tài)進(jìn)動(dòng) 磁共振成像
Keywords:
DESS;  Far lateral lumbar disc herniation; FLLDH;  MRI
摘要:
目的:探討雙回波穩(wěn)態(tài)進(jìn)動(dòng)磁共振序列在極外側(cè)型腰椎間盤(pán)突出癥的顯示情況及在臨床診治中的應(yīng)用價(jià)值。方法:回顧性分析9例極外側(cè)型腰椎間盤(pán)突出癥患者的腰椎MRI常規(guī)序列和雙回波穩(wěn)態(tài)進(jìn)動(dòng)序列的圖像,評(píng)價(jià)雙回波穩(wěn)態(tài)進(jìn)動(dòng)序列在極外側(cè)型腰椎間盤(pán)突出癥患者臨床診治中的應(yīng)用價(jià)值。結(jié)果:由于腰椎MRI矢狀位對(duì)極外側(cè)型腰椎間盤(pán)突出癥的診斷不敏感,造成9例極外側(cè)型腰椎間盤(pán)突出癥患者影像診斷上的誤診和漏診; 而雙回波穩(wěn)態(tài)進(jìn)動(dòng)序列在這9例患者的圖像中明確顯示L4～5腰椎間盤(pán)突出5例, L5S1腰椎間盤(pán)突出4例; 其中左側(cè)突出7例, 右側(cè)突出2例。結(jié)論:雙回波穩(wěn)態(tài)進(jìn)動(dòng)磁共振序列在極外側(cè)型腰椎間盤(pán)突出癥中的掃描圖像,可以清晰顯示突出椎間盤(pán)與腰骶部脊神經(jīng)根的卡壓情況,提高了對(duì)于該型腰椎間盤(pán)突出癥診斷的準(zhǔn)確性,為臨床醫(yī)師在術(shù)中的定位起到極大的幫助。
Abstract:
Objective:TO explore the display of DESS magnetic resonance sequence in FLLDH(far lateral lumbar disc herniation)and its value in the clinical diagnosis and treatment.Methods:Retrospective analysis of 9 cases of far lateral lumbar disc herniation in patients with lumbar MRI conventional sequence and DESS(double-echo steady-state precession)sequence of images,evaluate the application value of DESS sequence in clinical diagnosis and treatment of far lateral lumbar disc herniation.Results:The lumbar MRI sagittal insensitive to the diagnosis of extreme lateral lumbar disc herniation resulted in misdiagnosis and missed diagnosis in 9 cases of far lateral lumbar disc herniation; DESS sequence in the 9 patients images clearly show L4～5 lumbar intervertebral disc herniation in 5 patients,and L5S1 lumbar protrusion in the other 4 cases; herniation on the left side in 7 patients,herniation on the left side in 2 cases.Conclusion:The herniated lumbosacral nerve root entrapment can be clearly showed by DESS magnetic resonance scan image sequence in the far lateral lumbar disc herniation,it can improved accuracy for the diagnosis of lumbar disc herniation and play a great help for clinical physician in the intraoperative localization.

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備注/Memo

備注/Memo:
通訊作者:莊汝杰 E-mail:[email protected]
更新日期/Last Update: 2013-02-20