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为了评价平片和CT对腰椎退变性滑脱的诊断价值,总结分析了1992年7月至1995年9月因腰腿痛进行X线检查的病例,共4440例,根据不同的检查方法分为3组:(1)单纯平片检查3472例;(2)CT检查968例;(3)平片加CT检查30例。在3472例腰椎平片中发现退变性滑脱312例,占8.98%。结果表明平片是诊断腰椎退变性滑脱最简单而有效的方法。腰椎平片能直观地显示腰椎退变性滑脱,尤其对退变性滑脱发生的部位及形态类型的显示明显优于CT。而CT的优势在于能清楚地表现椎间盘、硬膜囊、关节突和椎管内外结构的变化。
In order to evaluate the diagnostic value of plain film and CT on lumbar degenerative spondylolisthesis, we analyzed and summarized the cases of X-ray examination of lumbar and lower back pain from July 1992 to September 1995, a total of 4440 cases were divided into 3 according to different examination methods Group: (1) plain film examination of 3472 cases; (2) CT examination of 968 cases; (3) plain film plus CT examination in 30 cases. In 3472 cases of lumbar disc degeneration found in 312 cases, accounting for 8.98%. The results show that plain film is the most simple and effective method for the diagnosis of degenerative spondylolisthesis. Lumbar plain film can visually show degenerative lumbar spondylolisthesis, in particular, the occurrence of degenerative spondylolisthesis and morphological type of display was better than CT. The advantage of CT is that it can clearly show the changes of disc, dural sac, articular process and internal and external structure of spinal canal.