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脊髓拴系综合征的MRI诊断评价
引用本文:高明勇 梁碧玲. 脊髓拴系综合征的MRI诊断评价[J]. 影像诊断与介入放射学, 1997, 6(2): 99-101
作者姓名:高明勇 梁碧玲
作者单位:广州中山医科大学孙逸仙圮念医院放射科MRI室,贵州省遵义市遵义医学院附院放射科,贵州省遵义市遵义医学院附院放射科,贵州省遵义市遵义医学院附院放射科,贵州省遵义市遵义医学院附院放射科 510120
摘    要:本文对14例脊髓拴系综合征(7例经手术证实)的MRI和临床表现进行了分析。145例中10例有膀胱、直肠功能障碍,占71.4%,而一肢感觉和运动功能障碍者仅占14.2%,在脊髓拴系的合并病变中,以神经管闭合不全和脂肪瘤居多,占71.4%。在71例经手术证实的病例中,其手术所见与MRI表现符合,符合率达到100%,证明MRI对一种快速、可靠、无损伤的诊断方法。笔者认为,在X线平片显示有骶椎型的同时,如

关 键 词:MRI 脊髓拴系综合征 诊断

Tethered Spinal Cord Syndrome:Evaluation with MRI
Gao Mingyong,Liang Biling,Huang Suiqiao,et al.. Tethered Spinal Cord Syndrome:Evaluation with MRI[J]. Journal of Diagnostic Imaging & Interventional Radiology, 1997, 6(2): 99-101
Authors:Gao Mingyong  Liang Biling  Huang Suiqiao  et al.
Affiliation:Gao Mingyong,Liang Biling,Huang Suiqiao,et al. Affiliated Hospital,Zun Yi medical college,Zun Yi,563003
Abstract:MR and clincal findings of 14 patients with tethered spinal cord syndrome (TCS) , 7 of which confirmed by operation, were analysed. 10 of them had bladder and rectum dysfunction (4.4%) and only 2 had lower extremities sence and motion dysfunction (14.2% ) . As to associated lesions of TCS dysrhaphia and lipomas were in predomint (71.4% ). Position of spinal cone of 14 cases were low down at the level of vertebra S1- 4. In 7 postoperative cases, the operative manifestations had good correlation with MR findings (almost 100% ) , it is suggested that MR is a rapid, reliable, non - invasive diagnostic method for TCS. If sacrum rictus was seen on radiogram with urinary bladder and rectum dysfunction, TCS should be strongly suspected.
Keywords:Tethered Spinal Cora MRI
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