脊髓空洞症在MRI表现(附123例分析)

The appearances of syringomyelia in MRI(analysis of 123 cases)

目的:根据脊髓空洞症MRI的表现将其分类并观察其特点与疗效情况。方法:对123例脊髓空洞症患者(保守治疗观察81例、手术42例)临床及MRI表现进行病因分析。结果:123例脊髓空洞症患者中有66例单纯合并小脑扁桃体下疝,12例合并小脑扁桃体下疝及颅底发育畸形,3例合并小脑扁桃体下疝及纵裂畸形,3例合并脊椎侧弯及后凸畸形,9例合并脊髓脊膜彭出;11例合并肿瘤;12例有外伤史、其中6例脊椎骨折;7例合并脊髓拴系、圆锥低位。结论:MRI能直观全面显示脊髓空洞症范围和程度以及致病原因,为治疗提供指导性建议。

Objective：To classify syringomyelia and see its features and effects of treatment by its MRI appearances. Methods：The causes of 123 patients with syringomyeha（81 cases with medicine treatment,42 cases with surgery）were analyzed by their clinical and MRI- appearances.Results： In 123 patients with syringomyeha, there were 66 cases only with Amold-Chiari malformation, 12 cases with Amold-Chiari and skull-base malformations, 3 cases with Amold-Chiari malformation and diastematomyelia, 3 cases with spine bent in one direction and saddle-forward malformation, 9 cases with myelomeningocele; 11 cases with tumors; 12 cases with injury history, including 6 cases of spine fracture ; 7 cases with tethered cord syndrome and spinal cord was terminated below L2. Conclusion： MRI can directly and completely show the range, degree and causes of syringomyelia, thus give instructive suggestions to its treatment.