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目的 分析脊椎血管瘤的X线、CT和MRI表现 ,评价其诊断价值。方法 经临床及手术病理证实的脊椎血管瘤共 14例 ,均行X线平片检查 ,其中 9例行CT扫描 ,6例作MR检查 ,CT和MR同时检查者 2例。结果 胸椎 10例 ,腰椎 3例 ,颈椎 1例。单个椎体受累者 11例 ,多个椎体受累者 3例 ;8例表现为典型的“栅栏状”或“蜂窝状” ,5例为椎体不规则破坏 ,其中 3例伴有椎体压缩 ;肿瘤突入椎管者 1例 ;X线和CT误诊者 2例 ,6例经MR检查确诊。结论 X线平片检查对典型的较大的脊椎血管瘤具有诊断意义 ,而CT和MR对不典型血管瘤的定位定性诊断具有十分重要的价值。
Objective To analyze the X-ray, CT and MRI findings of vertebral hemangiomas and evaluate their diagnostic value. Methods Totally 14 cases of spondylopenma confirmed by clinical and surgical pathology were examined by X-ray. Among them, 9 cases underwent CT scan, 6 cases were examined by MR, and 2 cases were examined by CT and MR simultaneously. Results Thoracic 10 cases, lumbar 3 cases, cervical 1 case. There were 11 cases of single vertebral body involvement and 3 cases of multiple vertebral body involvement. Eight cases showed typical “palisade” or “honeycomb”, 5 cases of irregular vertebral destruction, 3 cases with vertebral compression ; Tumor invaded the vertebral canal in 1 case; X-ray and CT misdiagnosis in 2 cases, 6 cases confirmed by MR examination. Conclusion X-ray examination is of diagnostic value for typical spondylovascular hemangiomas, and CT and MR are of great value in the qualitative diagnosis of atypical hemangiomas.