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胸椎小关节骨质增生与脊髓改变的MRI探讨
引用本文:谢明辉,张芳,王承缘. 胸椎小关节骨质增生与脊髓改变的MRI探讨[J]. 临床放射学杂志, 2000, 19(2): 104-106
作者姓名:谢明辉  张芳  王承缘
作者单位:1. 四川省宜宾市第一人民医院MR室,644000
2. 武汉,同济医科大学附属同济医院MR室,430030
摘    要:胸椎小关节增生可以引起椎管狭窄,本文旨在探讨其MRI表现且与脊髓异常之间的关系,以达到早期诊断,治疗。材料与方法,对11例共30处胸椎小关节骨质增生伴有胸段脊髓异常的病例进行回顾性分析。结果其中单个小关节增生4例,多个增生7例,单侧发生8处,双侧发生22处;脊髓囊变1例,软化1例,脊髓空洞症10例。

关 键 词:胸椎 小关节骨质增生 脊髓压迫症 磁共振成像
修稿时间:1999-05-10

Facet Hypertrophy of Thoracic Spine and Myelopathy--A Study with MRI
XIE Minghui,ZHANG Fang,WANG Chengyuan. Facet Hypertrophy of Thoracic Spine and Myelopathy--A Study with MRI[J]. Journal of Clinical Radiology, 2000, 19(2): 104-106
Authors:XIE Minghui  ZHANG Fang  WANG Chengyuan
Affiliation:XIE Minghui, ZHANG Fang, WANGChengyuan;(MR Division, No.1 People's Hospital, Yibin City, Sichuan Province 644000, P.R.China)
Abstract:Objective Facet hypertrophy may induce spinal stenosis. This study is aimed to discuss the MRI appearances of facet hypertrophy, and its relationship with myelopathy in order to make early diagnosis.Materials and Methods Thirty lesions seen in 11 patients with facet hypertrophy of thoracic spine and myelopathy were analyzed retrospectively.Results Four patients had single and 8 patients had multiple facet hypertrophy. Of 30 lesions, 8 located unilaterally and 22 bilaterally. Cyst formation of the cord and myelomalacia were found in 1 case each, while syringomyelia in 10 cases. Spinal stenosis was classified into 4 grades.Conclusion Severe facet hypertrophy of thoracic spine may induce myelopathy. MRI can make an early diagnosis thus some clinical measures can be made to prevent it from worsening.
Keywords:Spine  thoracic Facet hypertrophy Myelopathy MRI
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