摘要
目的:探讨CT、MRI在硬脑膜炎中的临床应用诊断价值。方法:回顾性分析15例肥厚性硬脊膜炎患者的临床资料,该组患者均经CT、MRI检查、诊断,以病理学检查为金标准。结果肥厚性硬脊膜炎的CT表现为硬脊膜增厚,位于椎管背侧,呈不规则新月形,硬膜外黄韧带下方见半月形略高密度影,内见点状钙质样密度,与黄韧带界限不清。MRI表现为T1wI及T2wI上均呈低信号,镜下可见纤维组织增生,并淋巴细胞浸润。结果肥厚性硬脊膜炎是中枢神经系统少见的硬模弥漫性炎症,CT、MRI对硬脊膜有较高的诊断价值,临床应用时应结合患者的具体症状,明确诊断,以防漏诊、误诊。
Objective： To explore the CT scan and MRI hard meningitis in the clinical application of diagnostic value.Methods：Retrospective analysis 15 cases of hypertrophic hard present the clinical data of patients with inflammation,this group of patients both by CT,MRI inspection,the diagnosis to pathology examination for gold standard.Results：Hypertrophic hard of inflammation of the performance for the present a CT hard present add thick,is located in the back and sides of the spinal canal,an irregular crescent,epidural yellow ligament see below half of slightly high density,see pointlike calcium in sample density,and yellow ligament boundary is not clear.MRI performance for T1wI and T2wI are in the low signal,microscopically fibre hyperplasia,and lymphocytes.Conclusion：Hypertrophic hard present inflammation is the central nervous system of the rare die hard diffuse inflammation,CT and MRI to present a hard with a high diagnostic value,clinical application should be combined with the specific patients with symptoms,diagnosis,in case the diagnosis,misdiagnosis.
出处
《中国医药导刊》
2013年第3期394-395,共2页
Chinese Journal of Medicinal Guide
关键词
肥厚性硬脊膜炎
CT
MRI
诊断
Hypertrophic hard present inflammation
CT
MRI
Diagnosis
