蒋红兵,曹满瑞,何健龙,刘炳光,谢肇峰,易蕙生.儿童颈部椎间盘钙化病的CT及X线平片表现[J].中国医学影像技术,2008,24(11):1740~1742
儿童颈部椎间盘钙化病的CT及X线平片表现
CT and roentgenographic manifestation of calcifying discopathy in the neck of children
投稿时间:2008-02-02  修订日期:2008-09-12
DOI:
中文关键词:  椎间盘  钙化  儿童  体层摄影术,放射计算机  放射摄影术
英文关键词:Intervertebral disk  Calcinosis  Child  Tomography, X-ray computed  Radiography
基金项目:
作者单位E-mail
蒋红兵 南方医科大学附属深圳妇幼保健院放射科,广东 深圳 518028 jianghb0755@163.com 
曹满瑞 南方医科大学附属深圳妇幼保健院放射科,广东 深圳 518028  
何健龙 南方医科大学附属深圳妇幼保健院放射科,广东 深圳 518028  
刘炳光 南方医科大学附属深圳妇幼保健院放射科,广东 深圳 518028  
谢肇峰 南方医科大学附属深圳妇幼保健院放射科,广东 深圳 518028  
易蕙生 南方医科大学附属深圳妇幼保健院放射科,广东 深圳 518028  
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中文摘要:
       目的 探讨儿童颈部椎间盘钙化病(CDC)的影像学表现。方法 搜集11例CDC,其中7例经X线平片、4例经CT诊断,对比观察椎间盘钙化形态和分布、椎体和椎间隙变化、椎管有无狭窄、有无椎旁软组织受累等。结果 椎间盘钙化形态多样,多数分布于椎间盘中央偏前,钙化髓核可向周围脱出。椎骨呈现生长障碍性改变和骨质增生。CT显示病变细节优于平片,X线平片可更好地显示纵向上的变化。结论 X线平片具有辐射小、性价比高等优点,更适合用于儿童颈部CDC的诊断和随访;CT可作为复杂情况下的备选方案。
英文摘要:
      Objective To observe imaging features, especially CT manifestation of calcifying discopathy (CDC) in the neck of children. Methods Imaging data of 11 patients with CDC, i.e. plain films of 7 and CT imaging of 4 were retrospectively analyzed, and the findings were recorded quantitatively and qualitatively including morphology and distribution of calcification, changes of vertebral body and intervertebral space, neighboring structures abnormalities such as spinal tube and paravertebral soft tissue. Results Calcifications of intervertebral disc were of different size and pattern, most located at the front-and-center part of disc. Some calcifying nucleus pulposus protruded into nearby structures. The changes of delayed growth or hyperplasia were observed in vertebral bone. CT was superior to plain film in displaying details but inferior in exploring the abnormalities of vertical anatomy. Conclusion For CDC in the neck of children, it is better to use plain film to diagnose and follow up for its low-dose radiation and high quality-and-cost-ratio, while CT is suitable for clarifying complex situations.
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