1、null “ 5 nullHIZ W / W % e 1 马null 昕,王洪立,姜建元,吕飞舟T e : (1968- ),p V , qT : 200040null Z , v D S , v , S Y T : y null jjy fudanspine. comK 1 ! “ null 1 MRIT2WI HIZ(high intensity zone) W / W % e N bZ E null2006 M 9 2007 M 12 , 43 / % e MRI_ # W / , MRIT2WIi HIZV C # W / $ s b T null 43 , 26 31 HIZV C
2、(60. 5%, 26/43), 17 / , q 65. 4% (17/26); 17 HIZV C 4 / , q ( 23. 5%, 4/17)b43 , 9 21 23 / , q 48. 8% (21/43)b null / % e HIZ W % e 4 U T , W / b1 o M !null W ; % e ; H ; + s m s | ! R681. 533null D S ! Anull c I | ! 1672-2957(2009)02- 0075-03Com parative study ofH IZ( high- intensity zone) and disc
3、ography in the diagnosis of discogenic low back painnull MAXin, WANG H ongli, JI ANG Jianyuan, Lnull Feizhou. D epartment of Orthopaedics, H uashan Hospital, Fudan University,Shanghai200040, ChinaAbstract!null Objectivenull Tocompare thevalueofHIZ(MRIT2WI) anddiscography in thediagnosisofdiscogenicl
4、ow backpain. M ethodsnull From September2006 toDecember2007, 43 patientswithserious low backpainwereexaminedbyMRIanddiscography. HIZ segmentonMRIandpositiveresultsofdiscographywereanalyzed retrospectively. R esultsnull ThirtynulloneHIZsegmentwere found in26patientsand theincidencewas60. 5% (26/43),
5、and17patientsofthem hadpositiveresultsofdisnullcography, thepositiveratewas65. 4% (17/26). Fourin17 patientswithoutHIZsegmenthadpositiveresultsofdiscography,and thepositiveratewas23. 5% (4/17). Therewere23positive resultsofdiscographyin21 patients, and thepositiveratewas48. 8% (21/43). Conclusionnul
6、l HIZ is agoodhint fordiscogeniclow backpain inchronicbackpain. Butdiscography istheessentialmethod tomakediagnosisofdiscogenic low back pain.K ey words!null Intervertebraldisk; Low backpain; Magnetic resonance imaging; Sensitivityand specificityJSpinalSurg, 2009, 7(2): 75- 77null null W % e % W = h
7、 M O W = . e s 3 % e , a * s V “ 5 + , 1 Y V MRI_ # W / b 2006 M9 2007 M 12 l 43 / % e , MRI# W / _ , 26 MRI_ T2WIi HIZ(high intersity zone)V C ,21 % W / bC D W % e N ) b1null Z E1. 1null B F 43 , 3 18 , o 25 ; M - 2257 , ( 37. 8 ; h N 1. 5 7. 0 M , ( 3. 6M b “ 5 V C % 4 . e , 38 , F ; 2 A M ; 3 Q 7
8、 F b 2 Q ? T H N b 7 / / ! . e i V % ; 4 “ u # v y - = . e ab40 ? U a _ , O U _ b Q ? T , Q ? T V b 8 : 41 i e , s i % u ; % % y a y a s K ;U * k ( | ; 5 i / $ h | , ( A / $ a * 8 b% XL # CT_ U 13 W #i . N ( 6 , 4 ? d m r ; # A U A * s a # % e % % h ; MRI i W A | M , W | (darkdisc)amodic M # 8 HIZC
9、b%W / , / A U W | M , ?e H . e B , O 1 | v W b / % e MRIT2WI W 8 i HIZ W % e 4 UT , ? | W / W % e , “ - W % e “ 5 W / b I D1null AprillC, Bogduk N. Highnullintensity zone: a diagnostic sign ofpainfullumbardisconmagneticresonanceimagingJ. BrJRanulldio,l 1992, 65(773): 361- 369.2null SchellhasKP, Poll
10、eiSR, GundryCR, eta.l Lumbardischighnullinnulltensityzone. CorrelationofmagneticresonanceimaginganddiscognullraphyJ. Spine, 1996, 21(1): 79-86.3null RicketsonR, SmimonsJW, HauserBO. Theprolapsed intervertebraldisc. The highnullintensity zone with discography correlation J.Spine, 1996, 21(23): 2758-2
11、762.4null , , , . % W MRI | u F h + “ 5 i l J. S , 2005, 25(5): 284-288.5null PengB, WuW, Hou S, eta.l Thepathogenesisofdiscogenic lowback painJ. JBoneJointSurgBr, 2005, 87(1): 62-67.6null CarrageeEJ, Paragioudakis SJ, Khurana S. 2000VolvoAwardwinner in clinicalstudies: Lumbarhighnullintensityzonean
12、ddiscognullraphy in subjectswithout low back problemsJ. Spine, 2000,25(23): 2987- 2992.7 null HortonWC, DaftariTK. Which disc as visualized bymagneticresonanceimaging isactually a sourceofpain? A correlation benulltweenmagnetic resonance imaging and discographyJ. Spine,1992, 17(6Suppl): S164- 171.8n
13、ull LeiD, RegeA, KotiM, eta.l Painfuldisc lesion: canmodernbiplanarmagnetic resonance imaging replacediscographyJ? JSpinalDisordTech, 2008, 21(6): 430- 435.9null WalshTR, Weinstein JN, SprattKF, eta.l Lumbardiscographyin normalsubjects. A controlled, prospective studyJ. JBoneJointSurgAm, 1990, 72(7)
14、: 1081-1088.10null HoltEP Jr. ThequestionoflumbardiscographyJ. JBoneJointSurgAm, 1968, 50(4): 720-726.11null y ( , v , a, . W / W %e J. S , 2006, 44(24): 1675-1677.12null Norman BC, JeffreyAS. Lumbar discography J. CurrOpinOrthop, 2006, 17: 195- 198.( l : 2008- 03-05)( I null null )null77nullnull , S , 2009 M 4 , 7 2 null JSpinalSurg, April2009, Vol7, No2null
