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[1]李偉,戰(zhàn)微微,馮越,等.腰椎ModicⅠ型終板退行性變的高場(chǎng)強(qiáng)核磁共振診斷特點(diǎn)[J].中醫(yī)正骨,2013,25(01):33-34.
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腰椎ModicⅠ型終板退行性變的高場(chǎng)強(qiáng)核磁共振診斷特點(diǎn)()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年01期
頁(yè)碼:
33-34
欄目:
影像診斷
出版日期:
2013-01-20

文章信息/Info

作者:
李偉戰(zhàn)微微馮越劉軼
浙江省浙江醫(yī)院,浙江 杭州 310013
關(guān)鍵詞:
腰椎 磁共振成像 終板 退行性變 診斷
摘要:
目的:探討腰椎ModicⅠ型終板退行性變高場(chǎng)強(qiáng)MRI影像特點(diǎn),為該病的診斷提供依據(jù)。方法:回顧性分析39例腰椎ModicⅠ型終板退行性變患者的高場(chǎng)強(qiáng)MRI圖片。男16例,女23例,年齡40~81歲,中位數(shù)56歲; 均有腰背部疼痛不適、活動(dòng)受限癥狀; 均無(wú)外傷、發(fā)熱及血象異常等病史。結(jié)果:本組39例,共96椎終板發(fā)生病變。病變分布:L2下緣1椎,L3上緣2椎,L3下緣8椎,L4上緣9椎,L4下緣17椎,L5上緣19椎,L5下緣20椎,S1上緣20椎。4例8椎MRI表現(xiàn)為T1WI混雜高信號(hào),抑脂序列信號(hào)減低; 其余受累椎體MRI表現(xiàn)為T1WI信號(hào)降低,T2WI信號(hào)增高,椎體上下緣毛糙,部分呈“毛刷樣”改變; 相鄰椎體終板退變大致呈“吻狀”對(duì)稱分布; 與病變終板平行的椎間盤T2WI信號(hào)降低,上下徑變窄,有膨出或突出征象。結(jié)論:腰椎ModicⅠ型終板退變多發(fā)生在L4~5、L5S1節(jié)段,受累椎體終板T1WI信號(hào)降低、T2WI信號(hào)增高,與病變終板平行的椎間盤有突出或膨出表現(xiàn),無(wú)椎間盤破壞征象,可與早期椎間盤感染性病變相鑒別。

參考文獻(xiàn)/References:

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更新日期/Last Update: 2013-01-20