脊柱侧弯影像检查的临床评价

目的:讨论不同影像方法对结构性脊柱侧弯发病情况及其指导临床诊治价值.方法:对155例脊柱侧弯者,均行X线片检查,其中69例行计算机体层成像(Computed tomography,CT)和磁共振成像(Magneticl resonance imaging,MRI)检查,40例行CT检查,20例行心脏超声,CT检查者均行多层面曲面重建(Cured multiplanar reconstruction,CMPR)及容积重组技术(Volume reconstruction,VR).结果:特发性脊柱侧弯(Idiopathic scoliosis,IS)81例(52.3%,15例合并先天性心脏病).先天性脊柱侧弯60例(38.7%,5例合并先天性心脏病).其它类14例(9.0%).结论:X线、CT及MRI是目前脊柱侧弯最常用的影像检查方法,各有其优缺点,应根据临床实际情况合理选择,对脊柱侧弯病因查找及术前术后的综合评估起重要作用.

Clinical value of the imaging study for spine scoliosis

Objective: To discuss the values of different imagings in the morbidity of the structural scoliosis and guidance for the clinical course. Methods: A total of 155 cases of spine scoliosis underwent X radiography. Of them, 69 cases also underwent with computed tomography (CT) and Magnetic resonance imaging (MRI), 40 cases with CT, and 20 cases with heart ultrasound. Cases underwent CT further underwent the cured multiplanar reconstruction (CMPR) and volume reconstruction (VR). Results: A total of 81 cases are idiopathic scoliosis (IS) (52.3%, 15 cases with congenital heart diseases), 60 cases are congenital spine scoliosis (38.7%, 5 cases with congenital heart diseases),and others are 14 cases (9.0%). Conclusion: At present, X-radiography XT and MRI imaging are the most frequently used examining methods for spine scoliosis. Each of them has its own advantages and disadvantages. The selection of them should be according to the clinical conditions, which plays an important in the search for the causes of the spine scoliosis and comprehensive assessment in pre-operation or post-operation.