椎体单纯骨挫伤40例临床与MRI诊断分析  

Clinical and MRI diagnostic analysis of 40 cases of pure vertebral body bone contusion

作　　者：段涛[1] 丁长青[2] 谢波[1] 刘德海[2] 

机构地区：[1]江苏丰县人民医院骨科,丰县221700 [2]江苏丰县人民医院影像科,丰县221700

出　　处：《河南外科学杂志》2014年第2期13-14,共2页Henan Journal of Surgery

基　　金：MRI序列部分内容为2010年徐州市科技发展基金(项目编号:XF10c060)

摘　　要：目的探讨椎体单纯性骨挫伤的临床与MRI表现特征。方法回顾性分析40例椎体单纯性挫伤的临床及0.35T MRI资料。结果 40例累及75个椎体,临床均表现为病变椎体后缘皮下疼痛。X线或CT显示椎体形态正常,除4例6个椎体CT可疑轻微骨折外,余X线及CT均阴性。MRI检查示病变椎体呈不同程度T1 WI低信号、T2 WI及脂肪抑制序列高信号。予以制动、休息及特定电磁波理疗1周～3个月后症状多消失。结论对于X线或CT阴性的可疑椎体损伤患者,进一步的MRI检查可发现可能存在的椎体单纯性挫伤。Objective To investigate the clinical and MRI features of pure vertebral bone contusion. Methods A retrospective analysis of clinical and 0. 35T MRI data of 40 persons with vertebral simple contusion. Results 40 persons 75 vertebral involved,all with the clinical manifestations of subcutaneous pain posterior vertebra. All showed normal shape on X-ray or CT. X-ray or CT are negative except 4 cases（ 6 vertebral） were suspicious slight fracture on CT. MRI showed different degree low signal on T1WI,high signal on T2WI and fat suppression sequences in the vertebral. The symptoms disappeared after 1 ～ 3 months the therapy of braking,rest and specific electromagnetic wave. Conclusion For those patients with suspected vertebral injury but X-ray or CT show negative,further examination by MRI can detect possible vertebral pure contusion.

关 键 词：椎体 挫伤 磁共振成像 

分 类 号：R681[医药卫生—骨科学]