【摘要】 目的:探讨脊柱手术后并发症的MR表现和MR在诊断及鉴别诊断中的临床应用价值。方法:对114例行MRI检查的脊柱手术后并发症患者的影像学资料进行回顾性分析,并与临床资料进行对照。结果:脊柱手术后主要并发症:椎管狭窄33例(硬膜外血肿或脓肿所致12例,硬膜外纤维化与瘢痕形成21例);脊柱失稳43例;感染23例(术后椎旁软组织感染7例,椎间盘炎5例,椎体及附件感染4例,硬脊膜外脓肿3例,脊髓炎2例,脊蛛网膜炎2例);其他28例(内固定失败12例,硬膜外血肿9例,脑脊液漏7例)。结论:MRI可明确显示脊柱手术后的各种并发症,在其诊断和鉴别诊断中有独特价值。更多还原

【Abstract】 Objective: To analyse MR findings in spinal postoperative complications and investigate the clinical applicative value of MRI in the diagnosis and differential diagnosis. Methods: MRI data of 114 cases of spinal postoperative complications were analyzed retrospectively and compared with the clinical data. Results: The main spinal postoperative complications includes: spinal stenosis(n=33, 21 cases of epidural fibrosis, 13 cases of epidural hematoma or epidural abscess); lack of stability(n=43); infection(n=23, 7 cases of para-spinal soft-tissue infection, 5 cases of vertebral discitis, 4 cases of vertebral and appendix infection, 3 cases of epidural abscess, 2 cases of myelitis, 2 cases of spinal arachnoiditis) and other(n=28, 12 cases of inner fixation failure, 9 cases of epidural hematoma, 7 cases of cerebrospinal fluid gusher). Conclusion: MRI can specifically display all kinds of spinal postoperative complications, and has a significant value in diagnosis and differential diagnosis.更多还原