腰椎小关节退变CT征象分析与探讨
摘要
目的分析腰椎小哭节退变的CT征象,提高对腰椎小关节病变的认识,探讨影像检查方法。方法收集67例腰椎小关节退变病人的CT及临床资料,对小关节及相关结构进行观察分析。结果腰椎小关节退变的CT征象:(1)关节突增生肥大;(2)关节面改变;(3)小关节间隙改变;(4)关节内真空现象;(5)关节半脱位;(6)关节囊钙化。结论CT能较好显示腰椎小关节退变的多种改变,但对早期软骨退变的诊断能力有限,还需进一步探索腰椎小关节退变的早期影像学诊断方法。
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