[核磁共振断层扫描诊断复发性椎间盘脱垂]。

A M Frank, A E Trappe, B Allgayer
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引用次数: 3

摘要

腰椎间盘切除术后持续腰痛可能有很多原因。如果发现复发性椎间盘突出,再手术很可能成功。所使用的诊断工具的灵敏度和有效性还不能被认为是最佳的。出于这个原因,在我们的研究中,130例复发性椎间盘突出的患者接受了MRI检查,有或没有使用钆DTPA。在所有患者中我们都看到椎管增强。再次手术证实MRI敏感性> 90%。因此,我们可以推荐这种诊断工具用于复发性椎间盘突出的诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Diagnosis of recurrent intervertebral disk prolapse with nuclear magnetic resonance tomography].

Persisting low back pain after lumbar discectomy may have many reasons. Reoperation is likely to be successful if a recurrent disc prolapse is found. The sensitivity and validity of diagnostic tools used cannot as yet be considered to be optimal. For this reason in our study 130 patients who were supposed to have a recurrent disc herniation underwent MRI with and without application of Gadolinium DTPA. In all patients we saw enhancement in the spinal canal. Sensitivity of MRI as verified by reoperation was > 90%. Hence, we can recommend this diagnostic tool for the diagnosis of recurrent disc herniation.

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