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目的探讨X线平片和CT对腰椎退变性滑脱的诊断价值。方法收集腰椎退变性滑脱92例,对其X线平片和CT进行回顾性分析。结果腰椎退变性滑脱好发于第4腰椎,滑脱程度多在Ⅰ度以内,多合并不同程度的退行性变。X线平片能直观地显示腰椎退变性滑脱,是诊断本病最简单而有效的方法,而CT能清楚显示椎间盘、硬膜囊、关节突和椎管内外结构的变化。结论X线平片与CT结合对腰椎退变性滑脱的诊断和治疗有着重要作用。
Objective To investigate the diagnostic value of X-ray and CT in degenerative lumbar spondylolisthesis. Methods Ninety-two patients with degenerative spondylolisthesis were collected, and the plain radiographs and CT were retrospectively analyzed. Results lumbar degenerative spondylolisthesis occurred in the fourth lumbar spondylolisthesis, degree of spondylolisthesis in more than Ⅰ degree, more with varying degrees of degenerative changes. X-ray film can intuitively show lumbar degenerative spondylolisthesis, is the most simple and effective method of diagnosis of the disease, and CT can clearly show the intervertebral disc, dural sac, articular process and changes in the structure of the spinal canal inside and outside. Conclusion X-ray and CT combined with the diagnosis and treatment of lumbar degenerative spondylolysis has an important role.