| MRI对急性脊髓炎诊断及预后判断的意义 |
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| 引用本文： | 司徒卫军. MRI对急性脊髓炎诊断及预后判断的意义[J]. 中国现代手术学杂志, 2009, 13(4) |
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| 作者姓名： | 司徒卫军 |
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| 作者单位： | 中南大学湘雅二医院放射科,长沙,410011 |
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| 摘 要： | 目的探讨MRI在急性脊髓炎诊断中的价值及其评估预后的意义。方法对32例综合病史、体征、脑脊液检查及MRI临床确诊的急性脊髓炎患者,根据MRI脊髓肿胀情况及脊髓横断T2WI信号判断急性脊髓炎的预后关系。结果本组MRI提示:颈髓受累8例,胸髓受累21例,腰髓受累3例。有脊髓肿胀者的19例中,预后良好4例(21.1%),不良15例(78.9%);无脊髓肿胀的13例中,预后良好10例(76.4%),不良3例(23.1%);两组比较有显著差异(P<0.05)。横断T2加权像脊髓断面呈均质增高23例中,预后良好5例(21.7%),不良18例(78.3%);而呈不均质增高的9例中,预后良好7例(77.8%),不良2例(22.2%);两组比较差异显著(P<0.05)。结论MRI对急性脊髓炎不仅具有定性定位准确的优点,且能对判断疾病的预后提供帮助;无肿胀者及横断T2加权像脊髓横断面呈不均质增高者预后较好。
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| 关 键 词： | 磁共振成像 脊髓炎 |
The Value of MRI in Diagnosis and Prognostic Assessment of Acute Myelitis |
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| SITU Wei-jun. The Value of MRI in Diagnosis and Prognostic Assessment of Acute Myelitis[J]. Chinese Journal of Modern Operative Surgery, 2009, 13(4) |
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| Authors: | SITU Wei-jun |
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| Affiliation: | SITU Wei-jun(Department of Radiology; Second Xiangya Hospital; Central South University; Changsha 410011; Hunan; China); |
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| Abstract: | Objective To explore the value of spinal magnetic resonance imaging(MRI) in the diagnosis and prognostic assessment of acute myelitis. Methods 32 cases suffered acute myelitis were established the definite diagnosis based on the history,signs,cerebrospinal fluid examination and MRI examination.The prognosis of acute myelitis was evaluated by spinal swelling and T2WI signals of MRI. Results Cervical spinal cord involved in 8 cases,thoracic spinal cord involved in 21 cases,and lumbar spinal cord involved in 3... |
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| Keywords: | magnetic resonance imaging myelitis |
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