MRI对急性脊髓损伤的评价

目的 探讨MRI在评价急性脊髓损伤中的临床应用价值.方法 收集急性脊髓损伤患者50例,行同期X线片、CT和MRI检查,MRI检查应用1.5T超导型磁共振成像仪,采用自旋回波序列和快速自旋回波序列,常规矢状位及横轴位扫描,17例加扫冠状位.结果 脊髓水肿:MRI检出16例,CT检出4例;脊髓挫伤出血:MRI检出21例,CT检出11例;脊髓受压变形:MRI检出34例,CT检出15例;脊髓断裂:MRI检出10例,CT检出3例.X线片未检出上述脊髓损伤.结论 MRI对评估脊髓损伤明显优于X线片和CT扫描,是急性脊髓损伤的最佳检查与诊断方法.

MRI evaluation of acute spinal cord injury

Objective To assess the clinical value of MRI in evaluation of acute spinal cord in-jury. Methods A total of 50 patients with acute spinal cord injury were examined with magnetic reso-nance (MRI), X-ray and CT. Of all, 15 patients for spinal MR imaging were examined with axial and sngittal spin-echo and fast spin-echo imaging and 17 with coronal imaging. All imaging was performed on 1.5T superconducting system (GE/SIEMENS) with spine surface coil. Results Among 50 patients with acute spinal cord injury, spinal cord edema was detected by MRI in 16 patients, by CT in four but none by X-ray. Intraspinal cord hemorrhage was detected by MRI in 21 patients, by CT in 11 but none by X-ray. Compression and dislocation were detected by MRI in 34 patients, by CT in 15 but none by X-ray. Incomplete and complete transection of spinal cord was found by MRI in 10 patients, by CT in three but none by X-ray. Conclusion MRI is superior to CT scanning and X-ray in detection and evaluation of a-cute spinal cord injury and is the optimal method for examination and diagnosis of acute spinal cord injury.