MSCT在腰椎小关节综合征诊断中的临床应用研究  

作　　者：何康[1] 钱琦[1] 樊闯[1] 姜黄维[1] 陈莺[1] 林敏[1] 

机构地区：[1]浙江中医药大学附属第三医院,310009

出　　处：《浙江临床医学》2014年第3期355-357,共3页Zhejiang Clinical Medical Journal

基　　金：2012年浙江中医药大学附属第三医院院级医药卫生科技计划项目（ZS12CAl6）

摘　　要：目的：探讨多层螺旋CT（MSCT）合并三维后处理对腰椎小关节综合征诊断中的价值。方法对180例经临床或相关提示腰椎小关节综合征患者的MSCT进行回顾性分析，三维后处理采用曲面重建（CPR）、容积再现（VTR）和多平面重建（MPR）等技术进行重建，分析椎间小关节病变情况。结果180例病人中发现椎间关节病变161例，发现椎间关节病变左侧共353个，右侧391个，双侧255个，其中椎间关节增生、硬化、肥大104例，椎间关节狭窄87例，椎间关节变性31例，椎间关节半脱位33例，合并其他病变如椎间盘病变91例，黄韧带肥厚45例，椎体侧弯36例，椎管狭窄19例，椎体滑移21例。结论 MSCT合并三维后处理可充分显示椎间小关节的解剖结构及病理变化，对诊断腰椎小关节综合征具有一定的影像学价值。Objective To disscuss diagnostic value of multi-slicehelicl computed tomograph（MSCT） combined with three-dimensional（3D） reconstruction technique in the facet joint syndrome. Methods Retrospective analysis of 180 cases of the facet joint syndrome patients diagnosed by the clinic or the relevant prompt were performed. The three-dimensional（3D） reconstruction technique took advange of curved planar reformation（CPR）、andvolume rendering technique （VTR） 、multiple planar reformation（MPR）to analyse the lesions of intervertebral facet joint. Results 161 cases were found with lesions of intervertebral joints from the 180 cases.These lesions included 353 in the left side、391 in the right side、255 in the bilateral side,104 cases had intervertebral joint hyperplasia、 hardening、hypertrophy,87 cases had intervertebral joint stenosis,31 cases had intervertebral joint degeneration,33 cases had intervertebral joint subluxation,91 cases complicated with intervertebral disc diseases,45 cases complicated with ligamentum flavum thickening,36 cases complicated with Vertebral body scoliosis,19 cases complicated with spinal stenosis,21cases complicated with slipping vertelrral body. Conclusion Multi-slicehelicl computed tomograph（MSCT） combined with three-dimensional（3D） reconstruction technique can demonstrate the anatomical structure and the pathological changes of intervertebral facet joints sufficiently,which of value of imaging in the diagnosis of lumbar facet joint syndrome.

关 键 词：腰椎 小关节 X线计算机 三维 

分 类 号：R681.5[医药卫生—骨科学]