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脊髓栓系综合征的MRI表现及诊断
引用本文:彭湘,吴国忠,杨秋红,曾飞雁. 脊髓栓系综合征的MRI表现及诊断[J]. 上海医学影像, 2004, 13(4): 287-289
作者姓名:彭湘  吴国忠  杨秋红  曾飞雁
作者单位:230001,安徽省立医院影像科;230001,安徽省立医院影像科;230001,安徽省立医院影像科;230001,安徽省立医院影像科
摘    要:目的分析脊髓栓系综合征(TCS)的MRI影像学特点,评价其诊断价值。方法对16例脊髓栓系综合征患者的MRI资料进行回顾性分析。结果16例中15例脊髓低位,脊膜膨出、脊髓脊膜膨出及脂肪脊髓脊膜膨出10例,椎管内脂肪瘤3例.脊髓纵裂2例,皮样囊肿2例,脊柱裂、腰骶椎分节不全15例。结论MRI能明确显示脊髓圆锥的位置、引起栓系的原因及伴发畸形.为脊髓栓系综合征患者的手术治疗提供可靠依据。

关 键 词:脊柱裂  脊髓栓系综合征  磁共振成像

MRI features and diagnosis of tethered cord syndrome
PENG Xiang,WU Guozhong,YANG Qiuhong,ZEN Feiyan. MRI features and diagnosis of tethered cord syndrome[J]. Shanghai Medical Imaging, 2004, 13(4): 287-289
Authors:PENG Xiang  WU Guozhong  YANG Qiuhong  ZEN Feiyan
Affiliation:PENG Xiang,WU Guozhong,YANG Qiuhong,ZEN Feiyan. Department of Radiology,AnHui Provincial Hospital,Hefei 230001
Abstract:Objective To explore the MR features and to evaluate the diagnostic value of tethered cord syndrome(TCS). Methods The MR appearances of 16 cases with TCS were analyzed retrospectively. Results Spinal cord was terminated below L1-L2 in 15 cases. MR findings were as follows: meningocele?myelomeningocele or lipomyelomeningocele(n=10), intradural lipoma(n=3), diastematomyelia(n=2), intradural epidoma(n=2), rachischisis and lumbosacral amerism(n=15). Conclusion MRI examination is of important value in the diagnosis of TCS.MRI can directly display the position of spinal cord conus and the cause of tethered spinal cord. MRI can also show the TCS-associated malformation and provide the reliable information for surgical operation.
Keywords:Spinal bifida Tethered cord syndrome MRI
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