儿童脊柱脊髓发育畸形的MRI诊断.pdfVIP

主堡塞旦』L登!堕盎垫查垫!!生!旦箜垫鲞箜!!塑曼!鱼!垒P￡!垦!堕里旦堕!!!!竺!Q!!!!!!：垫!堕!：!! ·843· ·小／JL外科· 儿童脊柱脊髓发育畸形的MⅪ诊断 路涛，陈加源，吴筱芸，印隆林，李迎春，陈光文 【摘要】 目的通过MRI探讨儿童脊柱脊髓发育畸形的影像学特征。方法2010年1月至2012年12 月对33例脊柱脊髓发育畸形患儿行MRI扫描，检查时患儿常规行矢状自旋回波序列(sE)TIWI，快速自旋回 波序列(FSE)T2WI及轴位FSET2WI扫描，必要时加冠状位T2WI扫描。结果33例脊柱脊髓发育畸形患儿 中脊柱发育畸形17例(占5I．5％)，脊柱脊髓均发育畸形12例(占36．4％)，骶管囊肿4例(占12．1％)。单纯 脊柱侧弯畸形4例，侧弯畸形合并椎体或脊髓发育畸形22例，环枕融合、颅底凹陷2例，单纯骶椎裂I例。结 论儿童脊柱脊髓发育畸形类型较多，常同时存在，MRI检查能准确诊断病变，为临床提供有用的信息。 【关键词】磁共振成像；脊柱；脊髓；畸形；儿童 of and cord inchildrenwithMlIlLU deformity Tao，CHEN Diagnosisspine spinal Jia—yll,nn．WUXiao—yun．YlN MedicalScienceSichuan 幻增一fin，Ⅱ¨昭一chun，CHENGuang—Well．DepartmentofRadiology，SichuanAcademyof 胁incial 61D072．吼ina People’SHospital．Chengdu Todiscussthe resonance of and 【Abstract】Objective magnetic imaging(MRI)characteristicsspine spinal childrenwith and cord underwentMRI COrd i11children．Methods exami． deformity Thirty—three spinespinaldeformity nationfrom toDec．2012．The wastoobtain T1WIandfast Jan．2010 echo(FSE) technique spinecho(SE)sagittalspin 佗WIaswellasaxialFSEr12WI．CoronalFSE他W1wasaddedwhen Therewere17caseswith necessary．Results for 2 withboth and cord for 51．5％ofall cases spinespinaldeformity，accounting spinedeformity，accountingpatients，1 36．4％ofall caseswithsacralcanal for12．1％ofall were4easesofscolio— patients．4 cyst．accounting patients．There ofscoliosis vertebralor COrd casesofadasassimilationandbasilarim． sis．22cases accompanyingspinaldefor