| 任转琴,罗鸿儒.颈椎病治疗致脊髓硬膜外血肿的MRI 诊断[J].中国医学影像技术,2000,16(12):1097~1098 |
| 颈椎病治疗致脊髓硬膜外血肿的MRI 诊断 |
| MRI Diagnosis of Spinal Epidural Hematoma due to Treating of Cervical Spondyllosis |
| 投稿时间：2000-07-10 |
| DOI： |
| 中文关键词: 颈椎病 硬膜外 血肿 磁共振成像 |
| 英文关键词:Cervical spondyllosis Epidural Hematoma MRI |
| 基金项目: |
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| 中文摘要: |
| 目的对颈椎病例治疗致脊髓硬膜外血肿(SEH) 的MR 和临床表现进行评价。方法本组4 例SEH 的
患者均在二级以上医院诊断为颈椎病,行按摩治疗而急性发玻均作MRI 检查,并有手术病理证实。结果在
MRI 图像上,血肿分别位于硬膜外腔的左后、右后及正后方。1 例血肿与椎间盘突出部位相一致。T1 加权能准确地
显示血肿的部位及范围而最有价值; T2 加权反映血肿随时间发生的信号变化。出血量少时,显示欠佳,但梯度回波
序列可弥补其不足。结论颈椎病治疗致SEH 虽属少见,但应引起医务工作者重视,要获得理想的临床疗效,就必
须做到诊断准确,并及时地手术治疗,解除脊髓压迫。 |
| 英文摘要: |
| Objective To evaluate MR findings and clinical data of due to treating of cervical spondyllosis with spinal
epidural hematoma (SEH) . Methods Four patients of SEH with underwent magnetic resonance imaging. Four patients diagnosed the illness as cervical spondyllosis in above grade two hospital ,and massaged break out in emergency. All the cases
were proved with surgery and pathology. Results On MRI ,the hematomas were in left posterior ,right posterior and posterior epidural space , respectively. Of them a hematoma was associated with disc hemiation. T1-weighted images were most
useful in displaying accurate position and range. T2-weighted images reflect its signal charge with the hematoma time. It was
not clear enough in images when hemorrhage amount is less ,but gradient echo sequences are capable of redeeming the defect . Conclusion Although SEH that is caused by treating of cervical spondyllosis is rare ,it should be taken seriously by
medical staff . MRI is the most helpful diagnostic tool for this condition. It should be stressed that precise neuroradiological
diagnosis and prompt surgical decompression of the spinal are essential to obtain an excellent clinical outcome. |
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