Haaverstad R, Myhre H O, Nilsen G
Kirurgisk avdeling, Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1995 Sep 10;115(21):2638-41.
Magnetic resonance imaging (MRI) was used to investigate 38 patients suffering from leg oedema or pain of various etiology. Spin echo series with 10 mm transverse slices of both legs were obtained. Soft tissue changes were visualized best by T2-weighted sequences. Characteristic changes could be observed by MR images of patients with closed compartment syndrome (n = 2), chronic lymph oedema (n = 10) and post-reconstructive leg oedema following vascular surgery (n = 14). MRI can also show typical soft tissue changes in patients with deep vein thrombosis (n = 5) or post-thrombotic syndrome (n = 3). For most of these conditions, the diagnosis can usually be established using simpler methods. However, MRI is an excellent supplementary method for showing soft tissue changes, and is a promising way of investigating conditions that may give rise to leg oedema and pain.
采用磁共振成像(MRI)对38例患有各种病因引起的腿部水肿或疼痛的患者进行研究。获取了双腿10毫米横向切片的自旋回波序列。通过T2加权序列能最佳地观察到软组织变化。在骨筋膜室综合征患者(n = 2)、慢性淋巴水肿患者(n = 10)以及血管手术后重建腿部水肿患者(n = 14)的磁共振图像中可观察到特征性变化。MRI还能显示深静脉血栓形成患者(n = 5)或血栓形成后综合征患者(n = 3)典型的软组织变化。对于大多数这些病症,通常可使用更简单的方法进行诊断。然而,MRI是显示软组织变化的一种出色的辅助方法,并且是研究可能导致腿部水肿和疼痛病症的一种有前景的方式。