美国放射同行教你用数据判断腰椎间盘的突出、膨出

2022-03-13 HW ZHAO译 jxradiology

本文北美脊柱外科协会(NASS)、美国脊柱放射学会(ASSR)和美国神经放射学会(ASNR)共同发布了腰椎间盘的命名法(2.0版)。

以下是北美脊柱外科协会(NASS)、美国脊柱放射学会(ASSR)和美国神经放射学会(ASNR)共同发布了腰椎间盘的命名法(2.0版)。

 

一、正常:

 

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二、椎间盘膨出(Disc bulge):

  • 正常椎间盘,均处于虚线所示的边界内;

  • 对称性椎间盘膨出,纤维环对称性的膨出椎间盘边界小于 3mm;

  • 不对称性椎间盘膨出,纤维环不对称性膨出椎间盘边缘大于 25%。

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三、椎间盘突出(Disc protrusion)

 

  • 椎间盘突出物小于椎间盘 25%(90度);而且,任何平面,突出物最大测量值均低于移位椎间盘来源的基底部。

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四、椎间盘突出亚型:椎间盘挤出(Disc extrusion)

  • 移位椎间盘最大测量值大于其来源的基底部

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五、椎间盘突出亚型:椎间盘游离(Disc sequestration)

  • 游离椎间盘为椎间盘脱出,与源椎间盘无任何联系。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1202787, encodeId=defa1202e87ad, content=挺好, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4e95545924, createdName=doctor.yang, createdTime=Tue Mar 15 16:16:21 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272167, encodeId=ba0e12e216770, content=<a href='/topic/show?id=cd1a854340b' target=_blank style='color:#2F92EE;'>#腰椎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85434, encryptionId=cd1a854340b, topicName=腰椎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e93e105, createdName=anminleiryan, createdTime=Tue Mar 15 03:49:45 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1615430, encodeId=abed16154307c, content=<a href='/topic/show?id=6c6b85465c0' target=_blank style='color:#2F92EE;'>#腰椎间盘#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85465, encryptionId=6c6b85465c0, topicName=腰椎间盘)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7c4619628184, createdName=12498974m57暂无昵称, createdTime=Tue Mar 15 03:49:45 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1202442, encodeId=be7a120244286, content=准确的指导了临床诊断。, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16c86543270, createdName=ms4000000149156745, createdTime=Mon Mar 14 12:10:33 CST 2022, time=2022-03-14, status=1, ipAttribution=)]
    2022-03-15 doctor.yang

    挺好

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1202787, encodeId=defa1202e87ad, content=挺好, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4e95545924, createdName=doctor.yang, createdTime=Tue Mar 15 16:16:21 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272167, encodeId=ba0e12e216770, content=<a href='/topic/show?id=cd1a854340b' target=_blank style='color:#2F92EE;'>#腰椎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85434, encryptionId=cd1a854340b, topicName=腰椎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e93e105, createdName=anminleiryan, createdTime=Tue Mar 15 03:49:45 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1615430, encodeId=abed16154307c, content=<a href='/topic/show?id=6c6b85465c0' target=_blank style='color:#2F92EE;'>#腰椎间盘#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85465, encryptionId=6c6b85465c0, topicName=腰椎间盘)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7c4619628184, createdName=12498974m57暂无昵称, createdTime=Tue Mar 15 03:49:45 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1202442, encodeId=be7a120244286, content=准确的指导了临床诊断。, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16c86543270, createdName=ms4000000149156745, createdTime=Mon Mar 14 12:10:33 CST 2022, time=2022-03-14, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1202787, encodeId=defa1202e87ad, content=挺好, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4e95545924, createdName=doctor.yang, createdTime=Tue Mar 15 16:16:21 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272167, encodeId=ba0e12e216770, content=<a href='/topic/show?id=cd1a854340b' target=_blank style='color:#2F92EE;'>#腰椎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85434, encryptionId=cd1a854340b, topicName=腰椎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e93e105, createdName=anminleiryan, createdTime=Tue Mar 15 03:49:45 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1615430, encodeId=abed16154307c, content=<a href='/topic/show?id=6c6b85465c0' target=_blank style='color:#2F92EE;'>#腰椎间盘#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85465, encryptionId=6c6b85465c0, topicName=腰椎间盘)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7c4619628184, createdName=12498974m57暂无昵称, createdTime=Tue Mar 15 03:49:45 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1202442, encodeId=be7a120244286, content=准确的指导了临床诊断。, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16c86543270, createdName=ms4000000149156745, createdTime=Mon Mar 14 12:10:33 CST 2022, time=2022-03-14, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1202787, encodeId=defa1202e87ad, content=挺好, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4e95545924, createdName=doctor.yang, createdTime=Tue Mar 15 16:16:21 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272167, encodeId=ba0e12e216770, content=<a href='/topic/show?id=cd1a854340b' target=_blank style='color:#2F92EE;'>#腰椎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85434, encryptionId=cd1a854340b, topicName=腰椎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e93e105, createdName=anminleiryan, createdTime=Tue Mar 15 03:49:45 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1615430, encodeId=abed16154307c, content=<a href='/topic/show?id=6c6b85465c0' target=_blank style='color:#2F92EE;'>#腰椎间盘#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85465, encryptionId=6c6b85465c0, topicName=腰椎间盘)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7c4619628184, createdName=12498974m57暂无昵称, createdTime=Tue Mar 15 03:49:45 CST 2022, time=2022-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1202442, encodeId=be7a120244286, content=准确的指导了临床诊断。, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16c86543270, createdName=ms4000000149156745, createdTime=Mon Mar 14 12:10:33 CST 2022, time=2022-03-14, status=1, ipAttribution=)]
    2022-03-14 ms4000000149156745

    准确的指导了临床诊断。

    0

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