中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (22): 4146-4149.doi: 10.3969/j.issn.1673-8225.2011.22.038

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

螺旋CT扫描与多模式三维重建在腰椎间盘突出症诊治中的应用

宾怀有，龙腾河，陈武新   

  1. 广西医科大学第四附属医院放射科，广西壮族自治区柳州市 545001
  • 收稿日期:2011-03-06 修回日期:2011-04-12 出版日期:2011-05-28 发布日期:2011-05-28
  • 通讯作者: 龙腾河，副主任医师，广西医科大学第四附属医院放射科，广西壮族自治区柳州市545001 longtenhe1965@yahoo.com.cn
  • 作者简介:宾怀有，男，1967年生，广西壮族自治区全州县人，汉族，1990年广西医科大学毕业，副主任医师，主要从事脊柱及四肢的CT研究。
  • 基金资助:

    广西壮族自治区卫生厅自筹经费科研课题(Z2009384)。

Spiral CT scanning and multi-mode three-dimensional reconstruction in diagnosis and treatment of lumbar intervertebral disc herniation

Bin Huai-you, Long Teng-he, Chen Wu-xin   

  1. Department of Radiology, Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou  545001, Guangxi Zhuang Autonomous Region, China
  • Received:2011-03-06 Revised:2011-04-12 Online:2011-05-28 Published:2011-05-28
  • Contact: Long Teng-he, Associate chief physician, Department of Radiology, Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545001, Guangxi Zhuang Autonomous Region, China longtenhe1965@yahoo.com.cn
  • About author:Bin Huai-you, Associate chief physician, Department of Radiology, Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545001, Guangxi Zhuang Autonomous Region, China
  • Supported by:

    Self-funded Research Project of Guangxi Health Committee, No. Z2009384*

PDF

585

被引次数

42

摘要：

背景：螺旋CT扫描与多模式三维重建在治疗腰椎间盘突出中有术前定位、术中指导手术和术后复查等作用。
目的：评价螺旋CT扫描与多模式三维重建在腰椎间盘突出中的应用，寻找合理的治疗方法。
方法：以“腰椎间盘突出症，螺旋CT，三维重建”为中文关键词，“Lumbar disc herniation，Spiral，Three dimensional reconstruction”为英文关键词，采用计算机检索PubMed数据库与万方数据库1998-01/2010-12相关文章。纳入与有螺旋CT扫描技术及其后处理的各种数据对腰椎间盘突出症的进行诊断和治疗相关的文章；排除重复研究或Meta分析类文章。以36篇文献为主重点进行讨论。
结果与结论：目前国内外学者多应用螺旋CT扫描技术及其后处理的多模式三维重建对腰椎间盘突出症的诊断，现已有部分学者把螺旋CT扫描技术及其后处理的各种数据应用在腰椎间盘突出症的治疗上，取得了比较理想的效果。利用多层螺旋CT配合多层面重组技术能更加准确显示腰椎间盘突出的直接征象与间接征象，提高椎间盘突出诊断率，并能与其他引起腰腿痛的疾病相鉴别；引入手术时还有定位、引导和复查等作用。提示科学合理的综合运用螺旋CT扫描技术及其后处理的各种三维重建数据对腰椎间盘突出症进行诊断和治疗是末来的发展方向之一。

关键词: 腰椎间盘突出症, 螺旋CT, 三维重建, 诊断, 数字化图像与影像

Abstract:

BACKGROUND: Spiral CT scanning and multi-mode three-dimensional reconstruction exert preoperative localization, intraoperative guidance, and postoperative review in the treatment of lumbar intervertebral disc herniation.
OBJECTIVE: To evaluate the effect of spiral CT scanning and multi-mode three-dimensional reconstruction on lumbar intervertebral disc herniation so as to find a reasonable therapy.
METHODS: A computer-based search of PubMed and Wanfang databases were conducted using keywords of “lumbar disc herniation, spiral CT, three dimensional reconstruction” in Chinese and English to retrieve relevant articles published 1998-01 to 2010-12. Repetitive articles or Meta analysis were excluded, and finally 36 articles were included.
RESULTS AND CONCLUSION: Currently, spiral CT scanning and multi-mode three-dimensional reconstruction have been used in diagnosis and treatment of lumbar disc herniation, which achieves satisfactory results. Spiral CT combined with multi-mode three-dimensional reconstruction multi-mode three-dimensional reconstruction can accurately show direct signs and indirect signs, improve the diagnostic rate of disc herniation and differentiate from low back pain caused by other diseases as well as plays a role in localization, guidance and review. It is prompted that the rational use of spiral CT and multi-mode three-dimensional reconstruction is a developing direction in the diagnosis and treatment of lumbar disc herniation.

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