Ультрасонографическая диагностика дегенеративной болезни дисков поясничного отдела

Abstract

Summary. The article provides information on ultrasonographic (USG) diagnostics of lumbar degenerative disc disease (DDD) in 119 people aged 27-56 years. Disc protrusion in 4 (6.2%) cases was at the L2-L3 level, in 19 (29.2%) - at the L3-L4 level, in 24 (36.9%) - at the L4-L5 level, and in 18 (27.7%) - at level L5- S1. In 4 (7.4%) cases, hernia was recorded at the L3-L4 level, in 21 (38.9%) - at the L4-L5 level, and in 29 (53.7%) - at the L5-S1 level. Median protrusion was noted in 29 (44.6%), hernia - in 17 (31.5%) cases, paramedian - in 25 (38.5%) and 23 (42.6%), posterolateral - in 11 (16.9%) and 14 (25.9%) cases. Against the background of disc protrusion in 35 (64.8%) cases lumbago (Pl-s <0.01), in 19 (35.2%) - sciatica was noted, and against the background of a hernia - in 27 (41.5%) cases lumbago and in 38 (58.5%) - sciatica (Ps-l <0.01). Against the background of lumbago median protrusion (protrusion + hernia) of the disc was observed in 39 (62.9%) cases, paramedian - in 17 (27.4%), posterolateral - in 6 (9.7%) cases; against the background of sciatica - in 7 (12.3%), 31 (54.4%) and 19 (33.3%) cases. When comparing USG and MRI, good image quality of discs was obtained in 54 (45.4%) and 65 (63.7%) cases (P <0.01), satisfactory - in 57 (47.9 ± 4.5%) and 32 (31.4 ± 4.6%), unsatisfactory - in 8 (6.7 ± 2.3%) and 5 (4.9 ± 2.1%) cases. According to the results of the study, USG is an informative method in diagnostics of lumbar DDD. DDD naibole more often affects the lower lumbar discs. The posterolateral localization of the hernia and protrusion is more often accompanied by sciatica, paramedian and median - lumbago.