[1]杨丙奎,曹佑军,潘浩,等.腰椎关节突关节滑膜囊肿的MRI表现特点[J].中医正骨,2022,34(03):38-41.
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腰椎关节突关节滑膜囊肿的MRI表现特点()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年03期
页码:
38-41
栏目:
影像诊断
出版日期:
2022-03-20

文章信息/Info

作者:
杨丙奎; 曹佑军; 潘浩; 崔凤
(杭州市中医院,浙江 杭州 310005)
关键词:
腰椎;  椎关节突关节;  滑膜囊肿;  磁共振成像
摘要:
目的:探讨腰椎关节突关节滑膜囊肿的MRI表现特点。方法:回顾性分析2017年3月至2021年5月收集的14例腰椎关节突关节滑膜囊肿患者的临床和MRI资料。男10例,女4例。年龄24～84岁,中位数63岁。病变位于左侧关节突关节6例、右侧关节突关节8例。病程1～36个月,中位数9个月。观察囊肿的位置、大小、MRI信号等情况。结果:14例腰椎关节突关节滑膜囊肿均为单发囊肿,其中囊肿位于椎管内12例、椎管外2例; 囊肿位于L1～L21例、L2～L32例、L3～L42例、L4～L57例、L5S12例。囊肿最大径线为4.1～13.6 mm,中位数8.6 mm。2例囊肿在T1WI和T2WI上表现为等或长T1、短T2信号,9例囊肿在T1WI和T2WI压脂序列上表现为长T1、长T2信号,1例囊肿在T1WI和T2WI压脂序列上表现为长T1、混杂T2信号,2例囊肿在T1WI和T2WI压脂序列上表现为等或短T1、长T2信号。2例囊肿边缘有钙化,1例囊肿内有积气。14例患者中,7例进行腰椎MRI增强扫描,其中2例囊肿在T1WI增强序列上表现为囊壁强化。14例患者中,6例合并邻近关节突关节滑膜积液,7例合并椎体滑移,1例合并邻近关节突关节滑膜积液和椎体滑移。结论:腰椎关节突关节滑膜囊肿多位于椎管内,好发于L4～L5节段,在T1WI和T2WI压脂序列上多表现为长T1、长T2信号,少数病例囊肿边缘钙化或囊肿内有积气,常合并邻近关节突关节滑膜积液或椎体滑移。

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(收稿日期:2021-06-15 本文编辑:郭毅曼)

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备注/Memo

备注/Memo:
通讯作者:崔凤 E-mail:feng6812@163.com
更新日期/Last Update: 1900-01-01