症状性脊椎血管瘤磁共振成像表现  

MRI fingdings of symptomatic vertebral hemangiomas

作　　者：邹医 马亚辉 Zou Yi;Ma Yahui(Department of Radiology,Chibi General Hospital,Hubei 437300,China)

机构地区：[1]湖北省赤壁市人民医院放射科,437300

出　　处：《实用医学影像杂志》2020年第5期502-504,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨症状性脊椎血管瘤的磁共振成像(MRI)表现特征,以提高对该病的认识。方法回顾性分析经手术病理证实的6例症状性脊椎血管瘤的MRI表现。结果6例症状性脊椎血管瘤均呈膨胀性肿块伴脊压征,5例位于胸椎(分别位于T2椎体及右侧椎弓根、T8右侧椎弓根及椎板、T9椎体及T11椎体),1例位于L2椎体伴病理性骨折,5例呈T1低信号、T2呈明显高信号影,合并压缩性骨折者T1及T2均呈高低混杂信号影,增强后呈明显强化。结论症状性脊椎血管瘤MRI表现有特征性,但合并病理性骨折易导致误诊。Objective To explore MR fingdings of symptomatic vertebral hemangiomas and to improve the diagnosis of this disease.Methods MRI findings of 6 cases with symptomatic vertebral hemangiomas confirmed by pathology were retrospective analyzed.Results In 6 cases with symptomatic vertebral hemangiomas,the lesions showed swollen masses causing spinal cord compression.Five cases were located in the thoracic vertebrae(T2 vertebrae and right pedicles,T8 right pedicle and lamina,T9 vertebrae and T11 vertebrae),1 case was located in L2 vertebra with pathological fracture,and 5 cases showed T1 has a low signal and T2 has a significantly high signal.Lesion complicated compressive fractures showed mixed signal in T1WI and T2WI.The lesions showed significant enhancement.Conclusion Symptomatic vertebral hemangiomas were of characteristics on MRI,but pathological fractures were easily lead to misdiagnosis.

关 键 词：脊椎血管瘤 症状性 磁共振成像 

分 类 号：R739.42[医药卫生—肿瘤]