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[磁共振成像在诊断术后复发性腰腿痛中的价值]

[Value of magnetic resonance imaging in the diagnosis of recurrent postoperative lumbosciatica].

作者信息

Frocrain L, Duvauferrier R, Chalès G, Ramée A, Pawlotsky Y

出版信息

J Radiol. 1987 May;68(5):381-5.

PMID:2956414
Abstract

Twelve patients who had a subsequent lumbar sciatica after surgery were evaluated with computerized tomography (C.T.) and magnetic resonance imaging (M.R.I.). The M.R.I. was performed with a 0.35 T whole body superconducting unit using spin echo technique. Two pulse sequences were realized varying the repetition time (TR) from 500 to 2,000 ms and the echo time (TE) from 28 to 60 ms. For the longer pulse, the twice echo were interpreted. The slide obtained with a surface-coil were performed in sagittal plane for the twice pulse sequences and in transaxial plane for the shorter pulse sequence. In seven cases, the results obtained with C.T. and M.R.I. were correlated. In two cases, the C.T. showed a scar formation, the M.R.I. showed a recurrent disk herniation. In three times, C.T. was unable to differentiate clearly between recurrent disk herniation and scar formation, the M.R.I. showed unequivocally on one case a scar formation and on two cases a recurrent disk herniation.

摘要

对12例术后出现腰椎坐骨神经痛的患者进行了计算机断层扫描(CT)和磁共振成像(MRI)评估。MRI使用0.35T全身超导装置,采用自旋回波技术进行。实现了两个脉冲序列,重复时间(TR)从500毫秒变化到2000毫秒,回波时间(TE)从28毫秒变化到60毫秒。对于较长的脉冲,对二次回波进行了解释。用表面线圈获得的图像在矢状面进行了两次脉冲序列成像,在横断面进行了较短脉冲序列成像。7例中,对CT和MRI的结果进行了对比。2例中,CT显示有瘢痕形成,MRI显示有复发性椎间盘突出。3次中,CT无法明确区分复发性椎间盘突出和瘢痕形成,MRI在1例中明确显示为瘢痕形成,在2例中显示为复发性椎间盘突出。

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