摘要
目的:总结腰椎椎体后缘软骨结节所致腰椎管狭窄症的临床、影像学表现及诊断要点,探讨有关的发病因素。方法:对32例腰椎椎体后缘软骨结节所致腰椎管狭窄症的临床表现、影像学特征进行分析。结果:32例均有间歇性跛行,多以腰腿痛为主诉就诊,9例推拿按摩后症状加重。X线腰椎侧位片见病变椎体(以腰4、5为主)后下(或上)角有骨缺损及该区有游离小骨块突入椎管内;典型的影像学改变为:(1)椎体后上缘类圆形骨质缺损,边缘较致密硬化;(2)缺损后方有一骨块突入椎管(游离或部分与椎体相连);(3)硬膜囊及神经根受压,可伴有椎间盘突出。结论:CT有特征性表现,能为制订治疗方案提供可靠依据。
Objective ：To summarize the clinical and imaging characteristics of lumbar spinal canal stenosis caused by lumbar posterior marginal intraosseous cartilaginous node （LPMN）,and to discuss its related etiological factors. Methods：The clinical manifestations and imaging characteristics of 32 cases with lumbar spinal canal stenosis caused by LPMN were analysed. Results：The typical imaging findings included： （1）focal defect in the posterior superior margin with sclerotic edge; （2）the defect foci which appeared the bony fragment sticking out the spinal canal; （3）compression of the dural sac and nerve root,mostly with lumbar discprotrusion.Conclusion：CT exanmiation is typical,and can provide a valuabe information for planning the treatment protocol.
出处
《现代医药卫生》
2008年第4期484-486,共3页
Journal of Modern Medicine & Health
关键词
腰椎
软骨
椎管狭窄
影像诊断
Lumbar vertebrae
Cartilage
Spinal stenosis
Image diagnosis
