腰椎小关节退变性损害的临床CT分析

黄绍权; 叶军; 陈雪莲; 邹时林; 匡永才; 刘永斌

腰椎小关节退变性损害的临床CT分析

1. 中国人民解放军 61699部队医院, 湖北枝江 443200;
2. 三峡大学仁和医院, 湖北宜昌 443000

详细信息

作者简介:
黄绍权(1969-),男,中国人民解放军61699部队医院副主任医师,主要从事CT诊断及CT介入治疗,Tel:15872480888,E-mail:shaoquanhuang@126.com;匡永才(1974-),男,三峡大学仁和医院主治医师,主要从事影像诊断,Tel:13687274874,E-mail:tshykycai@yahoo.com.cn

通讯作者:
匡永才(1974-),男,三峡大学仁和医院主治医师,主要从事影像诊断,Tel:13687274874,E-mail:tshykycai@yahoo.com.cn

中图分类号: R814.4
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出版历程
- 收稿日期: 2010-10-14
- 网络出版日期: 2022-12-12

CT Analysis of Degenerative Lesion in Lumbar Zygapophysis

1. The 61699 Hospitai of PLA, Zhijiang 443200, China;
2. The Three Gorges university Renhe hospital, Yichang 443000, China

摘要

摘要: 目的: 提高对腰椎小关节退变性损害的全面认识。方法: 对60例腰椎小关节行CT扫描,采用骨窗和软组织窗进行观察分析。结果: 在60例病例中,腰椎小关节突退变,增生硬化14例、关节突肥大6例、骨质疏松21例、骨赘形成18例、半脱位(对位不良)9例、皮质下囊变9例;小关节间隙退变,间隙变窄20例、不均17例、消失8例、真空征19例、关节腔内游离体6例;骨性关节面退变性改变,关节面不平53例、硬化34例,关节囊钙化5例,黄韧带肥厚4例、钙化5例。结论: CT扫描能准确观察到腰椎小关节退变性损害的改变,能为临床治疗提供较可靠的影像依据。
- 腰椎 /
- 小关节突 /
- 退行性改变 /
- CT表现
Abstract: Objective: To improve cognition of degenerative lesion in lumbar zygapophysis. Materials and methods: To analysis the CT images of the 60 cases with bone window and soft tissue window. Results: in 60 cases,CT findings of degenerative lesion in lumbar zygapophysis were founded proliferation hardening in 14 cases,hypertrophy in 6 cases,bone rarefaction in 21 cases,osteophyma in 18 cases,subluxaion in 9 cases;it was founded cataplasis in joint space with narrowing in 20 cases,unevenness in 17 cases,underpressure in 19 cases,corpus liberum in articular cavity in 6 cases;it was founded changes in articular facet with uneven in 53 cases,hardening in 34 cases,calcification in articular capsule in 5 cases,calcification with arcuate ligaments in 5 cases,and thickening in 4 cases. Conclusion: Thin slice CT scanning can accurately diagnose the degenerative lesion in lumbar zygapophysis and provid reliable images for treatmeat.
- lumbar /
- zygapophysis /
- degenerative lesion /
- CT images