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MRI诊断脊髓脊膜结核 被引量:1

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摘要 目的探讨脊髓脊膜结核的MRI表现及MRI对其诊断价值。方法回顾性分析8例脊髓脊膜结核影像表现,所有病例均行MRI平扫和增强检查。结果8例脊髓脊膜结核中,3例为脊髓结核,2例为脊髓脊膜结核,3例为脊膜结核。脊髓结核表现为脊髓内结核性肉芽肿(2例)、粟粒性结核(1例)和结核性脊髓炎(2例)。MRI平扫表现为脊髓肿胀,长T1、长T2信号;增强分别表现为环状强化、粟粒性结节和不强化。脊膜结核MRI表现为脊膜广泛增厚,蛛网膜下腔变窄、闭塞,MRI增强典型表现为"管状(矢状位)"或"环状(横切位)"强化。所有病例均伴有邻近其他脏器或组织的活动性结核病变。结论脊髓脊膜结核MRI表现典型,结合病史,邻近脏器和组织结核病变可以明确诊断。
作者 刘成铁
出处 《中国现代医生》 2009年第21期176-176,178,共2页 China Modern Doctor
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