摘要
目的：探讨脊柱手术后并发症的MR表现和MR在诊断及鉴别诊断中的临床应用价值。方法：对114例行MRI检查的脊柱手术后并发症患者的影像学资料进行回顾性分析，并与临床资料进行对照。结果：脊柱手术后主要并发症：椎管狭窄33例（硬膜外血肿或脓肿所致12例，硬膜外纤维化与瘢痕形成21例）；脊柱失稳43例；感染23例（术后椎旁软组织感染7例，椎间盘炎5例，椎体及附件感染4例，硬脊膜外脓肿3例，脊髓炎2例，脊蛛网膜炎2例）；其他28例（内固定失败12例，硬膜外血肿9例，脑脊液漏7例）。结论：MRI可明确显示脊柱手术后的各种并发症，在其诊断和鉴别诊断中有独特价值。
Abstract
Objective: To analyse MR findings in spinal postoperative complications and investigate the clinical applicative value of MRI in the diagnosis and differential diagnosis. Methods: MRI data of 114 cases of spinal postoperative complications were analyzed retrospectively and compared with the clinical data. Results: The main spinal postoperative complications includes: spinal stenosis(n=33, 21 cases of epidural fibrosis, 13 cases of epidural hematoma or epidural abscess); lack of stability(n=43); infection(n=23, 7 cases of para-spinal soft-tissue infection, 5 cases of vertebral discitis, 4 cases of vertebral and appendix infection, 3 cases of epidural abscess, 2 cases of myelitis, 2 cases of spinal arachnoiditis) and other(n=28, 12 cases of inner fixation failure, 9 cases of epidural hematoma, 7 cases of cerebrospinal fluid gusher). Conclusion: MRI can specifically display all kinds of spinal postoperative complications, and has a significant value in diagnosis and differential diagnosis.
关键词
脊柱 /
手术后并发症 /
磁共振成像
Key words
spine /
postoperative complications /
magnetic resonance imaging
杨海涛;王仁法;李 峰;张海栋;夏黎明;王承缘.
脊柱手术后并发症的MR表现及鉴别诊断[J]. 中国临床医学影像杂志. 2007, 18(5): 344-347
YANG Hai-tao;WANG Ren-fa;LI Feng;ZHANG Hai-dong;XIA Li-ming;WANG Cheng-yuan.
Analysis of MR findings and differential diagnosis in spinal postoperative complications[J]. Journal of China Clinic Medical Imaging. 2007, 18(5): 344-347
中图分类号：
Ｒ681.5
Ｒ619
Ｒ445.2
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