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GE Signa0.2TMRI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。
Objective To study the clinical significance of magnetic resonance imaging （MRI） for diagnosing the edema of lumbar superficial fasciae in patients with low back pain.Methods A hundred and thirty-three patients including 22 cases with clinically diagnosed lumbo-back myofascitis underwent conventional SE and FSE sequence MRI of the lumbar vertebrae.The procedures of MRI in all patients were performed by using a GE signa 0.2 T MR scanner at 5 mm of slice thickeness.Results Among 133 patients with low back pain,MRI showed abnormal long T1 and T2 signals on the superficial fascia mid-line areas of lumbar spinous process back side in 36 cases,of whom,30 cases associated with the degeneration of lumbar vertebrae such as intervertebral disc lesions and bony proliferation etc, and 1 case associated with the hemangioma of lumbar vertebrae.Among 22 patients with clinically diagnosed lumbo-back myofascitis,MRI showed abnormal long T1 and T2 signals on the superficial fascia in 16 cases, of whom,14 cases associated with the degeneration of lumbar vertebrae such as intervertebral disc lesion and bony proliferation etc.Condusion There is higher incidence of superficial fascia in patients with low back pain,while this edema can be sensitively showed and accurately diagnosed by MRI so that MRI can guide the clinical treatment.
出处
《实用医学影像杂志》
2009年第3期181-183,共3页
Journal of Practical Medical Imaging
关键词
下腰痛
腰筋膜
水肿
磁共振成像
Low back pain
Lumbar fascia
Edema
MR imaging
