下腰痛患者腰背浅筋膜水肿的mri诊断

《下腰痛患者腰背浅筋膜水肿的mri诊断》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、实用医学影像杂志2009年第10卷第3期JPMI,2009,Vol．10,No．3·181·下腰痛患者腰背浅筋膜水肿的MRI诊断郝天然（河南省濮阳市第五人民医院放射科，河南濮阳457000）【摘要】目的探讨下腰痛患者腰背浅筋膜水肿的MRI诊断。方法133例下腰痛患者（其中22例临床诊断腰背肌筋膜炎）均采用GESigna0.2TMRI进行腰椎常规SE序列、FSE序列检查，层厚5mm。结果133例下腰痛患者MRI显示腰椎棘突后方浅筋膜中线区域异常长T1、长T2信号36例，其中合并腰椎间盘病变、腰椎骨质增生等退行性病变30例，腰椎椎体

2、血管瘤1例。临床诊断腰背肌筋膜炎22例中MRI显示浅筋膜异常长T1、长T2信号16例，其中合并腰椎间盘病变、腰椎骨质增生等退行性病变14例。结论下腰痛患者腰背浅筋膜水肿发生率较高，MRI显示敏感，诊断准确，因此，MRI对指导治疗具有很高的临床价值。【关键词】下腰痛；腰筋膜；水肿；磁共振成像【中图分类号】R445.2；R686.3【文献标识码】A【文章编号】1009-6817（2009）03-0181-03MRIdiagnosisoftheedemaoflumbodorsalsuperficialfasciainpatientsw

3、ithlowlumbarpainHaoTianran.DepartmentofRadi－ology,HenanProvincialPuyangMunicipalFifthPeople'sHospital,Puyangshi457000,China【Abstract】ObjectiveTostudytheclinicalsignificanceofmagneticresonanceimaging(MRI)fordiagnosingtheedemaoflumbarsuperficialfasciaeinpatientswithlow

4、backpain.MethodsAhundredandthirty-threepatientsincluding22caseswithclinicallydiag－nosedlumbo-backmyofascitisunderwentconventionalSEandFSEsequenceMRIofthelumbarvertebrae.TheproceduresofMRIinallpatientswereperformedbyusingaGEsigna0.2TMRscannerat5mmofslicethickeness.Res

5、ultsAmong133patientswithlowbackpain,MRIshowedabnormallongT1andT2signalsonthesuperficialfasciamid-lineareasoflumbarspinousprocessbacksidein36cases,ofwhom,30casesassociatedwiththedegenerationoflumbarvertebraesuchasintervertebraldisclesionsandbonyproliferationetc,and1ca

6、seassociatedwiththehemangiomaoflumbarvertebrae.Among22patientswithclinicallydiagnosedlumbo-backmyofascitis,MRIshowedabnormallongT1andT2signalsonthesuperficialfasciain16cases,ofwhom,14casesassociatedwiththedegenerationoflum－barvertebraesuchasintervertebraldisclesionan

7、dbonyproliferationetc.ConclusionThereishigherincidenceofsuperficialfasciainpatientswithlowbackpain,whilethisedemacanbesensitivelyshowedandaccuratelydiagnosedbyMRIsothatMRIcanguidetheclin－icaltreatment.【Keywords】Lowbackpain;Lumbarfascia;Edema;MRimaging下腰痛是常见多发病，致病原因很多

8、，有的病岁。主要临床症状有下腰痛，伴或不伴有臀部、下肢原因不明。以往MRI检查多侧重于椎间盘、椎骨、椎放射性痛，病程1周～3a，或长期慢性腰痛急性加重[1,2]管病变的诊断。然而腰部背侧浅筋膜异常影像学1周以上，其中，临床诊断腰背肌筋膜炎22例。另表现报道较少，