螺旋CT容积再现法腰椎椎间孔测量探讨

发布时间：2018-11-04 10:32

【摘要】：目的:螺旋CT容积再现法测量正常成人各腰椎节段椎间孔,探讨不同节段腰椎椎间孔的差异及变化趋势。方法:120例非腰椎疾病患者,进行腰椎多层螺旋CT扫描并容积再现,测量各腰椎节段椎间孔的上下径、前后径,比较不同年龄、性别及腰椎不同节段上述指标的差异。结果:1相同腰椎节段椎间孔上下径,男女性别之间差异无显著性(P0.05);不同腰椎节段及不同年龄组之间椎间孔的上下径的差异均有显著性(P均0.05)。2相同腰椎节段椎间孔的前后径,男女性别之间及不同年龄组之间差异均无显著性(P均0.05);不同腰椎节段椎间孔的前后径有显著性差异(P0.05)。结论:正常成人不同腰椎节段椎间孔的上下径、左右径均不同,为经椎间孔内窥镜手术或介入治疗前了解骨道提供参考。
[Abstract]:Objective: to measure the intervertebral foramina of different segments of lumbar vertebrae in normal adults by spiral CT volume rendering, and to explore the difference and change trend of intervertebral foramina in different segments of lumbar vertebrae. Methods: one hundred and twenty patients with non-lumbar vertebrae disease were examined with multi-slice spiral CT and volume reconstruction. The upper and lower diameter, anteroposterior diameter of intervertebral foramen were measured, and the differences of the above indexes in different age, sex and different segments of lumbar vertebrae were compared. Results: (1) there was no significant difference between male and female (P0.05) in the superior and inferior diameter of intervertebral foramen in the same lumbar segment; There were significant differences in the superior and inferior diameter of intervertebral foramen between different lumbar segments and different age groups (P 0.05). 2 the anteroposterior diameter of intervertebral foramen of the same lumbar segment was the same. There was no significant difference between male and female and between different age groups (P 0.05). The anteroposterior diameter of intervertebral foramen in different lumbar segments was significantly different (P0.05). Conclusion: the upper and lower diameters, left and right diameters of different intervertebral foramina of different lumbar vertebrae in normal adults are different, which provides a reference for understanding the osseous canal before transforaminal endoscopy or interventional therapy.
【作者单位】：南京大学医学院附属鼓楼医院集团宿迁市人民医院;南京大学医学院附属鼓楼医院放射科;
【分类号】：R816.8

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