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METHOD FOR DIAGNOSTICS OF CERVICAL SPINE DISCAL HERNIA LOCALIZATION AND SIZE

机译:颈椎远端疝位置和大小的诊断方法

摘要

The method for diagnostics of cervical spine discal hernia localization and size consists in performens the direct transdermal of intervertebral from anterior-lateral access on a neck with simultaneous visualization of vertebral canal structures, sleeves of radicular nerves and also vertebral arteryin its canal. The segment-by-segment image is obtained and fixed in the monitor screen and parameters of vertebral canal (VC) and fibrous disk are determined. The central hernia is diagnosed in the case of posterior-anterior VC size decrease and unchanged symmetry and sizes of radicular sleeves. Theparamesial hernia is diagnosed in the case of asymmetry of radicular sleeves and visualizations of the lateral VC deformation. The posterior-lateral hernia is diagnosed in the case of asymmetry of radicular sleeves, caused by the deformation of one of them on the side of the hernia outpouching at the practically unchanged VC sizes. The hernia outpouching size is measured from the most distal hernia point to the conditional line, drew on the unchanged disk contour.
机译:诊断颈椎椎间盘疝的方法和大小包括:从颈部的前外侧入路直接进行椎间盘穿刺,同时可视化椎管结构,根管神经鞘以及椎管内的椎动脉。获取逐段图像并将其固定在监视器屏幕中,并确定椎管(VC)和纤维盘的参数。在前后VC尺寸减小,对称性和根袖尺寸不变的情况下,可诊断出中央疝。在根部套管不对称和可视化的横向VC变形的情况下诊断腹膜疝。在射频套管不对称的情况下,可诊断出后外侧疝,这是由于其中一个套管在疝袋一侧的变形以几乎不变的VC尺寸引起的。疝气出囊的大小是从最远端的疝气点到条件线的距离,并画在未改变的椎间盘轮廓上。

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