颈长肌肌腱炎的X线、CT及MR表现

X-Ray,CT and MR Manifestations of Longus Colli Tendonitis

目的探讨颈长肌肌腱炎的X线、CT及MR影像学表现及诊断价值。方法回顾性分析26例颈长肌肌腱炎的X线、CT及MR影像表现。结果 18例在寰椎前弓的下方出现钙盐沉积,23例在颈1至颈4水平出现椎前积液,18例急性患者在发病后一周内症状完全缓解,8例亚急性患者在发病后6周康复。结论颈长肌肌腱炎的X线、CT及MR表现为颈1至颈4椎体前缘积液与颈1椎体前弓下方钙化沉积共存。该病为自身限制性,钙化和椎前积液能够完全消失而痊愈。

Objective To investigate the imaging features and diagnostic values of X-ray,CT and MR in longus colli tendonitis. Methods Twenty-six cases of X-ray,CT and MR imaging of longus colli tendonitis were retrospective analysed. Results Eighteen cases showed calcium deposition below the anterior arch of the atlas;23 cases showed anterior cervical space effusion between cervical vertebrae 1 to 4;18 cases of acute symptom had completely relieve within a week after onset,and 8 cases of subacute symptom recovered in 6 weeks. Conclusion The X-ray,CT and MR manifestations of longus colli tendonitis are the coexistence of hydrops in the anterior edge of cervical 1 to cervical 4 vertebral bodies and calcified deposit under the anterior arch of cervical 1 vertebral body. The disease is self-limiting,and calcification and vertebral fluid can completely disappear after recovery.