16例儿童椎间盘钙化病的CT表现及检查技术分析.pdfVIP

重庆医科大学学报2008年第33卷第 10期 (JournalofChongqingMedicalUniversity2008．Vo1．33NO．1o) 一 1243一 论 著 文章编号：0253-3626(2008)10—1243—03 16例儿童椎问盘钙化病的CT表现及检查技术分析 徐 晔，余国蓉，杨 静 (重庆医科大学附属儿童医院放射科 ，重庆 400014) 摘【 要】目的：探讨儿童椎间盘钙化病(Inten’ertt~braldisccalcification，IDC)的cT表现，并比较CT和普通平片的诊断价值。方法： 搜集我院16例IDC，全部病例均有 cT和平片资料。观察、记录钙化的形态和分布、椎体和椎间隙变化、椎管狭窄、椎旁软组织有 无受累等征象。结果：(1)16例IDc中，颈椎15例，胸椎1例。共-26个椎间盘受累，其中77％为颈椎，其余为胸椎。钙化均呈结节状或 斑片状。16个钙化位于椎间盘前部，8个占据全椎间盘，2个位于后部。(2)CT和平片分别发现26个和25个椎间盘钙化，cT显示钙 化的分布和形态、椎管和软组织受累情况更佳。结论：cT对于钙化椎间盘细节的显示优于平片。 【关键词】椎间盘钙化病；体层摄影术，x线计算机 【中国图书分类法分类号】R445．2；R681．5 文【献标识码】A 【收稿日期】2008-06一-26 CT ofsixteen childrenwith intervertebraldisc calcification and comparing itsdiagnosticvalue with roentgnograph Ye，etal (DepartmentofRadiology，￡k Children’sHosp~al，ChongqingMedicalUniversity) A【bstract】Objective：ToexploretheCTmanifestationsofintervertebraldisccalcification(IDC)inchildrenpatientsanditsdi— agnosticvalue in comparisonwith plain fim．Methods：CT andplain 6lm data ofsixteen childrenwiht [DC were collected．The imageswereanalyzed from htefollowingaspects：countinghte involved discsofeach patient，locatingthe calcification ni each ill discandnearby tissue，observing themorphologicalfeaturesofcalcification，and vertebraltube involvement．Results： Fifteen patients had one or more than one cervicaldisc involved，butin only one patient，calcification involved five thoracic discs． Twenty—sixdiscswerecalcified in all，inwhich cervicaldiscaccounted for77％，and thoracic disc23％．Mostcalcificationswere nodularorpatchy wiht differentsize．Sixteen calcification located atthe anteriorhalfsegmentofinvolved discs；Eightin the centralpart；onlytwoattheposteriorpart．②CTandplainfilm detectedcalcificationrespectivelyof26and25discs．Thefor- metwas superiorin displaying hte location and appearance ofcalcification，and di