CAJ | 학술논문

目的：探讨Baastrup病的影像学表现及其临床意义。方法收集分析我院2011年11月至2015年2月间250例Baastrup病患者的影像学资料，全部行腰椎DR检查，其中54例加做腰椎MRI检查，19例加做腰椎螺旋CT检查，共有12例同时进行三种检查。结果 Baastrup病患者腰椎棘突相互靠近、撞击致相对缘骨质增生、硬化，棘突呈杵状增粗，相对面变平，甚至形成假关节，关节面下可见囊状低密度区；MRI T2WI序列可表现为棘突间高信号改变或无明显异常信号改变。患者有程度不等腰背部疼痛病史，受累棘突有固定压痛。多发生于50岁以上老人，多数伴有腰椎退行性改变。结论 Baastrup影像学表现具有特征性，正确认识此征象，有助于解释下腰部疼痛并指导临床开展治疗。
목적：탐토Baastrup병적영상학표현급기림상의의。방법수집분석아원2011년11월지2015년2월간250례Baastrup병환자적영상학자료，전부행요추DR검사，기중54례가주요추MRI검사，19례가주요추라선CT검사，공유12례동시진행삼충검사。결과 Baastrup병환자요추극돌상호고근、당격치상대연골질증생、경화，극돌정저상증조，상대면변평，심지형성가관절，관절면하가견낭상저밀도구；MRI T2WI서렬가표현위극돌간고신호개변혹무명현이상신호개변。환자유정도불등요배부동통병사，수루극돌유고정압통。다발생우50세이상노인，다수반유요추퇴행성개변。결론 Baastrup영상학표현구유특정성，정학인식차정상，유조우해석하요부동통병지도림상개전치료。
Objective To analyze the imaging findings and clinical vale of Basstrup diseas. Methods 250 cases of imaging date of Baastrup diseas in our hospital from November 2011 to February 2015 were analyzed retrospectively, All of them underwent lumbar Digital radiography (DR) examination, including 54 cases with Magnetic resonance imaging (MRI) examination, 19 cases with lumbar spiral Computer tomography (CT) examination, a total of 12 patients also underwent both of three types examinations. Results Baastrup diseas develops when there is close approximation and impingement of one spinous process on another, which leads to reactive sclerosis, enlargement, flattening, even the form of pseudarthrosis.Conclusion MRI shows high signal between the involved spinous processes or normal.All patients with a history of lumbar pain and tenderness involved spinous processes.