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笔者分析了60例不同部位椎体软骨结节的CT、MRI表现。典型表现:(1)CT表现椎体上下缘终板内的类圆形、三角形或分叶状骨质缺损,边缘致密硬化,(2)MRI表现为在T1WI及T2WI上与相连髓核等信号结节,结节周围表现为长T1短T2低信号环,几乎与椎体皮质相等;(3)发生于椎后缘的软骨结节常合并不同程度的椎管和/或侧隐窝狭窄,也可促使椎间盘的突出而中重椎管和/或倒隐窝狭窄的程度。根据自家经验,并结合文献,笔者指出椎体软骨结节多形成于青少年时期,是由椎间盘组织破裂的椎体终板突入椎体松质骨而形成的。
The author analyzed 60 cases of different parts of the vertebral cartilage nodules CT, MRI performance. Typical manifestations: (1) CT showed the type of circular, triangular or lobulated bone defects in the upper and lower edge of the vertebral body, the edge of the dense sclerosis, (2) MRI showed on T1WI and T2WI signals such as connected with the nucleus pulposus Nodules, nodules showed long T1 short T2 low signal ring, almost equal to the vertebral cortex; (3) occurred in the posterior margin of the cartilage nodules often associated with varying degrees of spinal canal and / or lateral recess stenosis, Can also promote the disc herniation and the weight of the spinal canal and / or inversion of the degree of stenosis. According to my own experience, combined with the literature, I pointed out that vertebral cartilage nodules mostly formed in adolescence, by the disc tissue rupture of the vertebral end plate into the vertebral cancellous bone formed.