盆腔出口区坐骨神经核磁共振显像及在梨状肌综合征中的临床应用.docVIP

精品论文 参考文献 盆腔出口区坐骨神经核磁共振显像及在梨状肌综合征中的临床应用 田征 余一品 陈宏 白靖平 锡林宝勒日 [摘 要]目的 探讨盆腔出口区坐骨神经MR显像特点及其对梨状肌综合征的诊断及治疗的临床意义。方法 2008年1月—2012年12月对45名健康志愿者通过两种扫描技术进行双侧盆腔出口区坐骨神经MR扫描，对正常盆腔出口区坐骨神经的MR显像特点进行总结，同时收集26例梨状肌综合征的患者，其中男18例，女8例，年龄30-56岁。所有患者均有患侧下肢神经症状，进行坐骨神经MR显像，对其进行分析总结，并进行临床手术，将手术所见与坐骨神经MRI显像进行比较。结果 45名健康志愿者及26例梨状肌综合症患者的核磁共振斜矢状位可将坐骨神经盆腔出口区清晰展现，术前核磁共振可显示坐骨神经与梨状肌的解剖关系，手术得到证实，手术后症状改善良好。 结论 核磁共振斜矢状位是展现坐骨神经较理想的影像学方法，术前核磁共振对坐骨神经及梨状肌变异的显示是诊断梨状肌综合症的重要指标，MRI可以明显提高盆腔出口区坐骨神经异常的诊断及鉴别诊断。 [关键词]梨状肌综合症 坐骨神经 核磁共振 诊断 手术 The Magnetic Resonance Image of the Sciatic Nerve in the Pelvic Outlet Area and Its Clinical Application in Piriformis Syndrome Tian Zheng, Yu Yipin，Chen Hong, Bai Jingping, Xi Linbaoleri Abstract: Objective To investigate the characteristics of magnetic resonance（MR） imaging g of the sciatic nerve in the pelvic outlet area and its clinical significance in curing piriformis syndrome. Methods The research used two kinds of MR scanning technology to scan the sciatic nerve in the bilateral pelvic outlet area in 45 healthy volunteers during January 2008 to December 2012. The characteristics of the sciatic nerve MR imaging of normal pelvic outlet area was summarized. Besides，26 piriformis syndrome patients were collected，among which 18 were male and 6 female，age ranging from 30 to 56 years old. All the patients had side lower limb nerve symptom, and their magnetic resonance images were studied and compared. Results The sciatic nerve image can be seen clearly in all patient and volunteers in the oblique sagittal position, and the MR imaging can display the relationship of the sciatic nerve and the piriformis syndrome, which was later confirmed by the surgery. Conclusion MR scanning may show better the sciatic nerve in oblique sagittal position. Preoperative nuclear magnetic resonance image to is an important indicator to diagnosis the piriformis muscle syndrome，which can obviously improve the pelvic outlet area nerve abnormal diagnosis and differential diagnosis. K