脊髓碘水造影和CT扫描的对比分析(附50例脊髓压迫症资料)

Comparative analysis of clinic diagnosis, organic iodine solution myelography and CT scanning in 50 cases of spinal cord compression

摘要: 本文报告50例经手术证实的脊髓压迫症,术前全部做过脊髓碘水造影,其结果与手术符合率为94.0%。其中31例联合CT扫描,与手术符合率为96.8%。本文重点讨论脊髓碘水造影和CT扫描对脊髓压迫症的诊断价值,并提出以下几种情况应联合CT扫描:①髓外病变致椎管完全阻塞,造影不能显示其上界;②颅底畸形旨在了解有无其它合并症;③临床高度怀疑脊髓压迫症,但造影未发现明显异常者,④造影提示髓内占位性病变者。

Abstract: Fifty cases of spinal compression were identifed by operation. The diagnostic accuracy ate of organic iodine solution myelography in these cases was 94.0%, and that of CT scanning in 1 cases was 96.8%. The article also discussed the value of organic iodine solution myelography nd CT scanning in the diagnosis of spinal cord compression.