摘要
笔者对1017例肩背和/或腰腿痛患者的临床、X线及CT资料进行了回顾性分析。CT显示椎小关节异常402例,X线显示183例。CT对本病的显示率比X线高12倍。CT能有效地显示关节突增生肥大、骨赘形成、关节间隙变窄、骨性关节面改变、关节脱位及半脱位、侧隐窝或椎间孔狭窄、关节囊钙化及关节“真空”征等。后二者X线检查难以显示。CT易于显示椎小关节病及其并存症,对肩背腰腿痛患者的合理施治有重要意义。
A retrospective analysis was made for clinical,X-ray and CT scan materials of 101 7 patients with pain in shoulder, back and/or leg.Abnromal facet joints were shown in 402 by CT,and in 183 by X-ray(ratio 2.2:1), CT can effectively demonstrate facet hypertrophy,osteophyte formation,joint narrowing,subehondral sclerosis erosion,dislocation and subluxation, stenosis of lat-eral recess and intervertebral foramen,calcification of the articular capsule and facet vacuum phenome-non. The latter two signs are hardly discernible by traditional X-ray to conclude. CT can show facet arthropathy and its complications easily, and is valuable in choosing rational therapeutic programme for shoulder,back pain and sciatica.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1994年第3期175-178,共4页
Chinese Journal of Radiology
关键词
脊柱
椎小关节病
CT
Spine Facet arthropathy Tomography X-ray computed