CAJ | 학술논문

目的探讨青少年脊椎椎小关节紊乱的发病机制,分析其临床表现及影像学表现,以明确诊断.方法回顾性分析250例10～30岁年龄组椎小关节紊乱引起颈、胸、腰背部酸痛患者的脊椎X线平片或CT平扫片或MRI片资料.结果青少年椎小关节紊乱有典型椎小关节不对称、关节面笔样增生硬化及周围软组织非特异炎性改变等影像学表现.结论青少年单纯性椎小关节紊乱在影像学上可以明确诊断及鉴别诊断,X线检查仍是诊断椎小关节紊乱的重要手段,CT及MRI可以更清楚显示椎小关节及其周围软组织的改变,还可以鉴别椎间盘突出性改变或其他原因引起的病患.
목적 탐토청소년척추추소관절문란적발병궤제,분석기림상표현급영상학표현,이명학진단.방법 회고성분석250례10～30세년령조추소관절문란인기경、흉、요배부산통환자적척추X선평편혹CT평소편혹MRI편자료.결과 청소년추소관절문란유전형추소관절불대칭、관절면필양증생경화급주위연조직비특이염성개변등영상학표현.결론 청소년단순성추소관절문란재영상학상가이명학진단급감별진단,X선검사잉시진단추소관절문란적중요수단,CT급MRI가이경청초현시추소관절급기주위연조직적개변,환가이감별추간반돌출성개변혹기타원인인기적병환.
Objective To explore the pathogenesis of juvenile disorders of spine facet joints and to clarify the diagnosis by concluding the clinical and imaging manifestations.Methods Retrospectively analyzed imaging data of 250 patients from 10～30 years with disorders of spine facet joints including X-ray and CT and MRI.Results Reasons of juvenile disorders of spine facet joints has unique imaging manifestations of asymmetric of small joints and joint surface hyperplasia like pen,of nonspecial inflammation in surrounding soft tissue.Conclusions Imaging can diagnose and differentiate diagnosis juvenile disorder of spine facet joints.X-ray is also the primary method.Not only.CT or MRI image can more clearly display the changes of spine facet joints and surrounding soft tissue,but also differentiate diagnosis disc henaiation and other diseases.