《中国康复理论与实践》

《中国康复理论与实践》 ›› 2000, Vol. 6 ›› Issue (02): 53-55.

• 理论与实践 • 上一篇    下一篇

小脑扁桃体延髓联合畸形型164例MR诊断

张红; 孙进; 徐建民   

  1. 中国康复研究中心 北京 100077
  • 收稿日期:2000-03-15 出版日期:2000-06-25 发布日期:2000-06-25

MR diagnosis of Arnold-Chiari malformation type I(analysis of 164 cases)

ZHANG Hong,SUN Jin,XU Jianmin   

  1. Chinese Journal of Rehabilitation Theory & Practice.-2000,6(2):53～55
  • Received:2000-03-15 Published:2000-06-25 Online:2000-06-25

PDF (PC)

摘要： 评价 Arnold-Chiari畸形(ACM)的MR诊断价值。方法:对我院 1990年1月至 1999年12月间164例临床未明确诊断的ACM型患者进行MR检查,总结并分析其影像表现。结果 :164例中,60%脊髓萎缩(99/164);80%出现不同程度脊髓空洞 (123/164) ;71%延、颈髓交界处屈曲成角( 117/164) ;75%合并其他畸形 (123/164) ;70%合并颅颈交界处骨结构畸形(115/164)。结论:MR是诊断ACM的首选方法,并能准确查明其合并畸形、脊髓空洞范围及程度。

关键词: Arnold-Chiari畸形, 磁共振, 脊髓空洞症

Abstract: Objective:To evaluate the diagnostic value of MR for ACM.Methods:164 patients,with obscure clinical diagnosis from Jan.1990 to Dec.1999,were examed by a 1.0T superconductive MR system.The diagnosis of ACM Type Ⅰ was established in all cases and their MR appearances were summarized and analysed. Results:In all cases,60%(99/164)patients had a variable degree of syringohydromyelia;71%(117/164)had cervicomedullary kinking;75%(123/164)were associated with other malformation;70%(115/164)were associated with craniocervical junction malformation.Conclusion:MR has been proved to be the best method in diagnosis of ACM,and it can be used to find out accurately the associated malformation,degree and range of syringohydromyelia.

Key words: Arnold-Chiari malformation, magnetic resonance, syringohydromyelia