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[1]楊丙奎,曹佑軍,潘浩,等.腰椎關(guān)節(jié)突關(guān)節(jié)滑膜囊腫的MRI表現(xiàn)特點(diǎn)[J].中醫(yī)正骨,2022,34(03):38-41.
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腰椎關(guān)節(jié)突關(guān)節(jié)滑膜囊腫的MRI表現(xiàn)特點(diǎn)()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年03期
頁(yè)碼:
38-41
欄目:
影像診斷
出版日期:
2022-03-20

文章信息/Info

作者:
楊丙奎; 曹佑軍; 潘浩; 崔鳳
(杭州市中醫(yī)院,浙江 杭州 310005)
關(guān)鍵詞:
腰椎;  椎關(guān)節(jié)突關(guān)節(jié);  滑膜囊腫;  磁共振成像
摘要:
目的:探討腰椎關(guān)節(jié)突關(guān)節(jié)滑膜囊腫的MRI表現(xiàn)特點(diǎn)。方法:回顧性分析2017年3月至2021年5月收集的14例腰椎關(guān)節(jié)突關(guān)節(jié)滑膜囊腫患者的臨床和MRI資料。男10例,女4例。年齡24～84歲,中位數(shù)63歲。病變位于左側(cè)關(guān)節(jié)突關(guān)節(jié)6例、右側(cè)關(guān)節(jié)突關(guān)節(jié)8例。病程1～36個(gè)月,中位數(shù)9個(gè)月。觀察囊腫的位置、大小、MRI信號(hào)等情況。結(jié)果:14例腰椎關(guān)節(jié)突關(guān)節(jié)滑膜囊腫均為單發(fā)囊腫,其中囊腫位于椎管內(nèi)12例、椎管外2例; 囊腫位于L1～L21例、L2～L32例、L3～L42例、L4～L57例、L5S12例。囊腫最大徑線為4.1～13.6 mm,中位數(shù)8.6 mm。2例囊腫在T1WI和T2WI上表現(xiàn)為等或長(zhǎng)T1、短T2信號(hào),9例囊腫在T1WI和T2WI壓脂序列上表現(xiàn)為長(zhǎng)T1、長(zhǎng)T2信號(hào),1例囊腫在T1WI和T2WI壓脂序列上表現(xiàn)為長(zhǎng)T1、混雜T2信號(hào),2例囊腫在T1WI和T2WI壓脂序列上表現(xiàn)為等或短T1、長(zhǎng)T2信號(hào)。2例囊腫邊緣有鈣化,1例囊腫內(nèi)有積氣。14例患者中,7例進(jìn)行腰椎MRI增強(qiáng)掃描,其中2例囊腫在T1WI增強(qiáng)序列上表現(xiàn)為囊壁強(qiáng)化。14例患者中,6例合并鄰近關(guān)節(jié)突關(guān)節(jié)滑膜積液,7例合并椎體滑移,1例合并鄰近關(guān)節(jié)突關(guān)節(jié)滑膜積液和椎體滑移。結(jié)論:腰椎關(guān)節(jié)突關(guān)節(jié)滑膜囊腫多位于椎管內(nèi),好發(fā)于L4～L5節(jié)段,在T1WI和T2WI壓脂序列上多表現(xiàn)為長(zhǎng)T1、長(zhǎng)T2信號(hào),少數(shù)病例囊腫邊緣鈣化或囊腫內(nèi)有積氣,常合并鄰近關(guān)節(jié)突關(guān)節(jié)滑膜積液或椎體滑移。

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(收稿日期:2021-06-15 本文編輯:郭毅曼)

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備注/Memo

備注/Memo:
通訊作者:崔鳳 E-mail:[email protected]
更新日期/Last Update: 1900-01-01