复发性腰椎间盘突出症的影像学分析及临床意义

Clinical features and radiographic analysis of recurrent lumbar disc herniation

中文关键词:  复发性  腰椎间盘突出症  影像学

英文关键词:Recurrence,Lumbar disc herniation,Radiography

中文摘要:

  目的:探讨复发性腰椎间盘突出症的影像学特点及其临床意义。方法:回顾52例复发性腰椎间盘突出症患者的临床资料,分析其站立位腰椎正、侧位及过伸、过屈动力位X线片和腰椎MRI等影像学资料及其临床特点。结果:同节段突出36例,相邻节段突出6例,同节段突出合并相邻节段突出10例。20例存在腰椎失稳,2例合并腰椎滑脱,腰椎失稳主要发生在L4/5节段,与手术方式及椎间隙狭窄程度相关。结论:复发性腰椎间盘突出多伴有椎间隙狭窄和节段性失稳,对复发性腰椎间盘突出症的治疗要兼顾减压和稳定两个方面。

英文摘要:

  Objective:To explore the characteristics of radiography and clinical features of recurrent lumbar disc herniation(LDH).Method:52 cases of recurrent LDH were reviewed retrospectively.The clinical manifestation and image data of X-rays including standing lu