【摘要】：目的探討T7~8椎旁間隙及其毗鄰結(jié)構(gòu)的高頻超檢查方法和聲像圖特征。方法采用彩色多普勒超聲診斷儀、線陣探頭(頻率3~12 MHz),以肩胛骨、肋骨、胸椎棘突及橫突等作為解剖標志,檢查30名正常成人共60側(cè)T7~8椎旁間隙,觀察T7~8椎旁間隙及其毗鄰結(jié)構(gòu)的聲像圖特征。結(jié)果 T7~8胸椎旁間隙聲像圖表現(xiàn)類似三角形,其內(nèi)部為實性均質(zhì)性低回聲;T7~8椎旁間隙毗鄰肌肉從淺至深依次為斜方肌、背闊肌、棘肌、半棘肌、多裂肌、回旋肌、肋間肌;彩色多普勒或能量多普勒血流成像可顯示位于胸椎旁間隙內(nèi)肋間后動脈。結(jié)論高頻超聲可清晰顯示T7~8椎旁間隙及其毗鄰結(jié)構(gòu),可為臨床診治胸椎旁間隙及其毗鄰結(jié)構(gòu)病變提供影像學依據(jù)。
[Abstract]:Objective to investigate the high frequency ultrasonography and sonographic features of the paravertebral space and its adjacent structures in T 7 / 8. Methods Color Doppler ultrasonography was used to examine 60 sides of T7 / 8 paravertebral space in 30 normal adults using linear array probe (frequency 3-12 MHz), including scapula, rib, thoracic spinous process and transverse process as anatomic markers. The sonographic features of the paravertebral space and its adjacent structures were observed. Results the sonography of thoracic paravertebral space was similar to that of triangle, and the adjacent muscles of the paravertebral space were trapezius muscle, latissimus dorsi muscle, spinous muscle, semi-spinous muscle, polyfissure muscle, circumflex muscle and intercostal muscle from shallow to deep. Color Doppler or power Doppler flow imaging can show the posterior intercostal artery in the paravertebral space. Conclusion High-frequency ultrasound can clearly display the paravertebral space and its adjacent structures of T7 / 8, which can provide imaging basis for clinical diagnosis and treatment of thoracic paravertebral space and its adjacent structural lesions.
【作者單位】： 深圳市光明新區(qū)中心醫(yī)院超聲科;深圳市龍崗中心醫(yī)院超聲科;
【基金】：深圳市龍崗區(qū)“專家提升計劃”攻關(guān)項目(ZJTS-2012021)
【分類號】：R322;R445.1

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