脊柱复合畸形的MRI诊断

MRI Diagnosis in Multi-malformations Spine

目的探讨磁共振成像(MR I)对脊柱复合畸形的诊断价值。方法回顾性分析12例脊柱复合畸形患者的临床和MR I表现。结果12例患者均有不同程度硬膜囊扩张,脊柱裂11例,脊髓栓系8例,脊髓纵裂及皮下脂肪堆积各6例,腰背部皮毛窦5例,椎管内脂肪瘤及脊膜膨出各3例,脊髓空洞及椎管表皮样囊肿各1例。结论MR I能较全面显示椎管内外病变特征,是诊断脊柱复合畸形的最有效方法。

Objective To discuss MRI diagnostic value of Multi-malformations Spine. Methods The clinical manifestations and the MRI findings of 12 cases with Multi-malformations Spine were retrospectively analyzed. Results The disease included expanding of epidural cyst in the 12 cases, spinal bifida in 11, tethered spinal cord in 8, diastematomyelia in 6, fat accumulating in the subcutaneous in 6, dorsal dermal sinus in 5, intraspinal canal lipoma in 3, meningocele in 3, syringomyelia in 1, spinal epidermoid cyst in 1. Conclusion MRI can completely display the total spinal cord and the vertebral structures and it is the most effective method for diagnosing Multi-malformations Spine.