摘要
目的:探讨腰椎间盘突出症患者的肌电图(EMG)和CT与手术探查结果之间的定位关系。方法:30例临床确诊为腰椎间盘突出症患者术前进行EMG、CT检查,然后实施手术探查。结果:EMG检查结果与手术发现结果的符合率为83.3％,CT检查结果与手术结果的符合率为93.3％。EMG检查与CT扫描之间的符合率无显著性差异(P>0.05)。结论:EMG是从神经电生理角度反映神经根受压的功能状态,CT则是从形态学上反映腰椎间盘突出结构异常改变,二者可相辅相成,可提高临床手术定位诊断的准确性。
Objective: To explore the locating relationship of EMG, CT and operative results of patients with protrusion of lumbar intervertebral disc. Methods: Before operation, EMG and CT of 30 patientrs with protrusion of lumbar intervertebral disc were examined, then these patients were surgical explored. Results: the coincidente rate between results of EMG and operative results was 83. 3%; the coincident rate between results of CT and operative results was 93. 3%. the coincident rate between EMG and CT have no outstanding difference (P>0. 05). Conclusion; EMG can reflect the function state of nerve roots under compress in electrophysiolgy, CT scans can feflect the abnormal change of protrusion of lumbar intervertebral disc in shape. The combination above two methods can enhance the accuracy of clinical operative locating diagnosis.
出处
《现代电生理学杂志》
2000年第3期97-99,102,共4页
Journal of Modern Electrophysiology
关键词
肌电图
CT
腰椎间盘突出
EMG
CT
protrusion of lumbar intervertebral disc
