症状性脊柱血管瘤的影像学诊断应用分析  

Radiological diagnosis of symptomatic vertebral hemangiomas

作　　者：姬少绯[1] 杨黎[2] 牛军杰[1] 岳瑞杰[1] 程敬亮[3] 

机构地区：[1]郑州市骨科医院放射科,河南郑州450052 [2]郑州大学第一附属医院重点实验室,河南郑州450052 [3]郑州大学第一附属医院磁共振科,河南郑州450052

出　　处：《中国医药科学》2013年第5期122-124,共3页China Medicine And Pharmacy

摘　　要：目的分析评估影像学检查在症状性脊柱血管瘤临床诊断中的应用价值。方法回顾性分析26例经手术及病理证实的脊柱血管瘤患者的临床及影像学检查资料,其中23例行CT检查,20例行MRI检查。结果 CT可见网眼状影像中夹杂着低密度脂肪,部分呈典型"栅栏样"改变。在MRI上病灶呈T1WI低信号/T2WI等信号5例,T1WI低信号/T2WI高信号7例,T1WI等信号/T2WI高信号5例,T1WI低信号/T2WI低信号2例,T1WI高低混杂信号/T2WI高低混杂信号1例。在T2WI上随TE的延长,血管瘤体信号逐渐增高变亮。结论症状性脊柱血管瘤的CT、MRI均有特征性表现。但是,MRI显示范围广,软组织分辨率高,对血管瘤侵袭性的诊断明显优于CT。Objective To evaluate the.value of clinical imaging in the use of diagnosis of symptomatic vertebral hemangiomas. Methods Twenty-six patients who were suffered from SVH were investigated,23 cases were performed by CT,20 cases were performed by MRI. Results CT showed the reticulation image with low density fat and typical change of bars in partial cases. Five lesions appeared low signal on TIWI and equal signal on T2WI,7 cases with low TIWI and high T2WI,5 cases with equal TlWI and high T2WI,2 cases with low T1WI and low T2WI,1 cases with mixed TIWI and mixed T2WI. Conclusion Special appearances are found in CT and MRI. However, it is a good clinical value of MRI in the evaluation of hemangiomas aggressiveness.

关 键 词：症状性脊柱血管瘤 磁共振成像 CT 临床诊断 

分 类 号：R732.2[医药卫生—肿瘤]