文献类型：期刊文献

中文题名：腰椎滑脱中全腰椎间盘的CT与MRI表现

英文题名：Comparative study and clinical significance of CT and MRI in lumbar intervertebral disc degeneration with spondylolisthesis

作者：王琳[1,2];林志艳[2];施乐年[1];徐世伟[1];王学香[1];哈伟[1]

第一作者：王琳

机构：[1]甘肃中医药大学附属医院放射科,甘肃兰州730020;[2]甘肃中医药大学临床医学院,甘肃兰州730020

第一机构：甘肃中医药大学第二附属医院

年份：2017

卷号：15

期号：6

起止页码：688

中文期刊名：中国中西医结合影像学杂志

外文期刊名：Chinese Imaging Journal of Integrated Traditional and Western Medicine

基金：甘肃省卫生行业科研管理项目(GWGL2014-41);甘肃中医药大学中青年科研基金项目(ZQ2014-30)

语种：中文

中文关键词：椎间盘退变;脊椎滑脱;磁共振成像;体层摄影术,X线计算机

外文关键词：Intervertebral disc degeneration;Spondylolisthesis;Magnetic resonance imaging;Tomography,X-ray computed

摘要：目的 :了解脊椎滑脱中全腰椎间盘的CT与MRI表现,提高对脊椎滑脱与椎间盘退变关系的认识。方法 :回顾性分析112例腰椎滑脱患者的CT、MRI资料。观察椎间盘的Pfirrmann分级、软骨终板的Modic改变、突出或膨出、真空征、许莫氏结节及钙化情况。结果:L_3、L_4、L_5滑脱段椎间盘的形态变化和信号分级较其他节段变化程度显著(均P<0.05);L_3、L_4滑脱段椎间盘以下节段较以上节段形态变化与信号分级程度更明显;L_3、L_4、L_5滑脱近节段椎间盘较远节段形态变化与信号分级程度更明显。结论:CT与MRI两者结合对腰椎滑脱中的腰椎间盘退变诊治有重要指导作用。
Objective：To comparatively study the CT and MRI changes of intervertebral disc degeneration in spondylolisthesis.Methods：CT and MRI data of 112 patients with lumbar spondylolisthesis were retrospectively analyzed. The Pfirrmann scale,Modic changes of cartilage endplate,disc herniation,disc vacuum syndrome,Schmorl＇s node and calcification were observed. Results：The study was found that the form and signal of slippage of intervertebral disc L3,L4 and L5 were varies significantly than others（all P 0.05）. That the form and signal of the following section of slippage of intervertebral disc L3 and L4 were varies significantly than the above section of them. That the form and signal of the section of the distance of slippage of intervertebral disc L3,L4 and L5 were varies significantly than the section of the closer of them. Conclusion：The combination of CT and MRI has an important guiding role in diagnosing spondylolisthesis.