X线平片与16排CT对胸椎小关节紊乱的评价作用

目的：旨在提高胸椎小关节紊乱X线平片、CT诊断水平。方法：对40例X线平片、30例16排CT检查确诊胸椎小关节存在病变影像资料进行分析比较。结果：X线平片不同投照体位可以评价不同胸椎小关节,表现为间隙改变、椎棘突偏斜及增生硬化,对胸椎小关节软组织病变基本无法评价;CT平扫对各胸椎小关节改变均可评价,表现为关节突肥大,骨赘样增生,关节面硬化,关节间隙改变,关节囊及韧带钙化。结论：X线平片及CT检查均能对胸椎小关节紊乱作出正确的评价,造成遗漏的原因是忽视了对胸椎小关节的仔细观察。

The Effect of Evaluation on Thoracic Spinal Facet Disorder with X-ray and 16 Slice CT

Objective: To improve the CT and X-ray diagnosis of thoracic spinal facet disorder.Method: The data of 40 cases X-ray and 30 cases 16 slices of CT diagnosis of thoracic spinal facet disorder were analyzed.Result: Different projection positions of X-ray can evaluate different thoracic small joints.Image diagnosis were space changes,the deflection of the spinous process of vertebral and hyperostosis osteosclerosis.soft tissue lesions near thoracic spinal facet almost was not evaluated.CT plain scan can evalua...