腰部椎間板ヘルニアの「レ」線学的研究 : 特にMyelogramm並にDiskogrammの診断学的価値に関する考察

概要

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For the purpose of evaluating myelography and diskography as a diagnostic method in lumbar intervertebral disk herniation, 66 patients who had been operated on for that disease (77 disks) were studied. Myelographic and diskographic findings in these patients were examined in terms of their clinical pictures and surgical findings, particularly the condition of the disk itself discovred in transabdominal discotomy with anterior vertebral body fusion (Suzuki). The following conclusions have been reached: Myelography is a method of diagnostic value in lumbar intervertebral disk herniation, for its positive findings are of use in differential diagnosis and in identifying the position of the disk involved. It may, however, be misleading to presume the degree and scope of herniation and to decide what treatment to give, especially to decide if surgery is indicated, based on myelograms alone. On the other hand, diskograms, which are a direct and accurate presentation of the changes in the disk, are of great value in deciding if surgery is indicated and what surgical procedure is to be taken. In diagnosing lumbar intervertebral disk herniation, it would be necessary to use myelography or diskography, or both, as need be, so that accurate diagnosis may be made to help decide if a patient should be operated on.
千葉大学の論文