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MRI不同序列对脊柱骨折及合并症的诊断价值
引用本文:刘勇,何治元,罗丽,杨述根.MRI不同序列对脊柱骨折及合并症的诊断价值[J].现代医用影像学,2010,19(1):17-20.
作者姓名:刘勇  何治元  罗丽  杨述根
作者单位:1. 泸州医学院附属中医院放射科,四川泸州,646000
2. 四川泸县人民医院放射科
3. 泸州医学院附属医院放射科
摘    要:目的:探讨MRI对脊柱骨折及合并症扫描的最佳序列选择。材料与方法:收集经临床随访与手术证实的42例脊柱骨折患者的临床及全脊柱MRI检查资料,比较MRI扫描序列TSE/T1WI,TSE/T2WI,STIR对病变的敏感性。结果:42例患者,临床诊断脊柱新鲜骨折37例,陈旧性骨折5例,骨挫伤27例,脊椎滑脱7例,脊髓损伤12例,硬膜下血肿6例,软组织损伤42例。T1WI检出新鲜骨折26例(70.2%),骨挫伤5例(13.5%),脊髓损伤7例(18.9%);T2WI检出新鲜骨折31例(83.8%),骨挫伤12例(32.4%),脊髓损伤9例(24.3%);STIR检出例数与临床诊断完全符合。三种序列检出脊椎滑脱及硬膜下血肿例数符合临床诊断。T1WI/T2WI对软组织损伤敏感性不高,并误诊陈旧性骨折2例。本组5例加扫颈部TSE/PDWI冠状位,检出C2椎体骨折2例。结论:STIR序列对病变敏感,检出率达100%,其诊断准确性高于T1WI/T2WI序列。

关 键 词:脊柱  骨折  MR成像

The Diagnostic Value of Different MRI Scanning Series in Spinal Fracture and Complication
Liu Yong,He Zhiyuan,Luo Li,Yang Shugen.The Diagnostic Value of Different MRI Scanning Series in Spinal Fracture and Complication[J].Modern Medical Imagelogy,2010,19(1):17-20.
Authors:Liu Yong  He Zhiyuan  Luo Li  Yang Shugen
Affiliation:Liu Yong1 He Zhiyuan2 Luo Li3 Yang Shugen3Department of Radiology,Chinese Medicine Hospital of Luzhou Medical College,Sichuan Liuzhou 646000
Abstract:Purpose:To investigate the best scanning series of spinal fracture as well as its complication.Materials and Methods:42 Cases of its clinical datas and the imaging of total-spine were collected which confirmed by the clinical follow up and surery,the sensitivity to the pathological changes of the following scan sequence were compared:TSE/T1WI,TSE/T2WI,STIR.Results:In 42 cases,clinical diagnosis included fresh spinal fracture(n=37),neglected fracture(n=5),bone bruise(n=27),spondylolysis(n=7),spinal cord inju...
Keywords:Spine Bone fracture Magnetic resonance imaging  
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