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到底是报椎间盘突出还是椎间盘膨出?

2022-02-19 普罗旺斯 华夏影像诊断中心

一文读懂~

椎间盘突出还是椎间盘膨出?几乎每个CT或者MR的影像医生在工作中都会碰到这样一个问题。一般我们在报告中有一句大概这样描述:

椎间盘软组织密度(信号)局限性向后(左后、右后)突出,硬脊膜囊受压——椎间盘突出;

椎间盘软组织密度(信号)均匀向周围突出,硬脊膜囊受压,——椎间盘膨出。

我们来看看椎间盘的正常解剖:

图片

图片
               (正常椎间盘)

如果椎间盘这样:

 

图片

图片

 

那就很简单——椎间盘突出

 

图片

图片

这个也好说——椎间盘膨出

但是工作中不是都是这样典型的,或者n处在二者之间的,怎么报?刚开始工作的时候,一直有个误区:矢状位看着严重的就报突出,较轻的就报膨出,不知道各位老师是怎么判断的?

后来,在华中科技大学同济医院进修学习时,有位知识渊博的教授(是我发自内心的)告诉我一个好办法,在此特意分享一下:

图片
(我自己用钢笔画的,有点丑,见笑了)

就是看椎间盘突出的边缘占整个边缘的比率,或者看我画的那个角度,以180°为界限,小于报突出,大于报膨出。

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    2022-04-27 ms6000001090533026

    在另一篇文章看到的角度和楼主不一样哎//m.capotfarm.com/article/show_article.do?id=ae133006e797

    0

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    2022-02-25 ms6000001154688722

    学习了

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    2022-02-20 ms3000000089219083

    学习

    0

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