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通过100例手术和CT所见突出的椎间盘与神经根之间的关系,比较二种所见与临床表现的联系,为手术治疗提供可靠依据。方式:将手术所见分为A、B、C、D4组,将CT所见分为Ⅰ~Ⅱb、Ⅱb、Ⅱ~Ⅲb、Ⅲa4组。对各组的临床表现进行评分比较。结果:手术所见突出的椎间盘与神经根的关系与临床表现的轻重有关,CT所见突出的椎间盘与临床表现呈现出不稳定的关系。结论:不能单纯根据CT影像来决定是否手术,而应结合临床表现和保守治疗的结果。
Through the 100 cases of surgery and CT seen prominent disc and nerve root between the relationship between the two see the connection with clinical manifestations, to provide a reliable basis for surgical treatment. Methods: The surgical findings were divided into A, B, C, D4 group, the CT findings are divided into Ⅰ ~ Ⅱ b, Ⅱ b, Ⅱ ~ Ⅲ b, Ⅲ a4 group. The clinical manifestations of each group were scored. Results: The prominent intervertebral disc and nerve root seen in the surgery were related to the severity of clinical manifestations. The prominent intervertebral discs seen by CT showed an unstable relationship with clinical manifestations. Conclusion: CT images can not be used solely to decide on surgery, but should be combined with the clinical findings and the results of conservative treatment.