【摘要】 目的 作者通过对40例患者回顾性分析，证实了CT对腰椎间盘突出以及相关的椎管狭窄的诊断的高准确率，对与手术不符之处作出了解析；方法 提供40例腰椎间盘突出CT资料，并与手术结果进行对照。结果 对椎间盘后突出，手术与CT相符率达85．0％；因黄韧带肥厚、椎体及附件增生所致的椎管狭窄，CT的准确率仅55．6％。结论 由于CT诊断的高准确性，完全可作为首选检查；而椎管狭窄症诊断率低，主要与扫描方法和认识有关。更多还原

【Abstract】 objective Through reviewing 40 cases， author has To confirm CT has a that highaccurate rate in diagnosing of Lumbar disc herniation and spinal stenosis and explained and analyzed the analyse couses of inharmony between CT and operation． Methods With analyzd retrospectvely， to provid CT date of 40 cases of Lumbar disc herniation and compare to prsults of operating． Results Results CT date and operative results were contrasted in 40 pativnts with lumbat dise herniation of CT is 85．0 percent in conforming to operating on backward Lumbar disc herniation． Accurate rate of CT is only 55．6 percent on Spinal stenosis that was caused by flavum ligament hypertrophy， vertebrae and enclosure proliferating． Conclusion CT is recommended at the first examination method for its high accurate rate． Another morever The accurate rate of CT diagnosing on spinal stenosis is related to scanning method and understanding ability． Results the diagnosic rate of CT was 85％ on backward lambar disc herniation， Conclusion Because of flarum hypertrophy， vertebrae and endosure proliferation the diagniosic rate in concordance with operation was only．更多还原