腰椎小关节综合征的CT诊断

腰椎小关节综合征的CT诊断 3b???b??? ???????T?????,?H???????R?a?????????????????????4 ?;?????????????a???????K?g???????????+???????E?:,?K ???g?R?a?????????;???+???M??????????,???t?4?;???I??b, IL23?????M???????/?E??????,?G???R??T????????b3?? ?:?;?K?????(??,???E???????M???4?;?????????L???????? ?(?ab3????b,?O?J???V???d,???????TIL23?k?????????H?? ????,IL23?????????C???M???4?;???????????????(?a???? ?2??,?g?4?;?????????????S???x???4,???tIL23?g?????? ?)?I???4?;?(?a???????????I??????b,????,??????IL23 (rhIL23)?O???????????????????B??????,?D?????????????x ???h???/???x????b3?x?????????/???x????b3???????????/?? ?x????b3???H???????/???x???????4?;?????????D?+???(?a ???????b???????Ob, IL212???????????????????x??????(Cytotoxiclymphocyto maturationfactor,CLMF),?g???:?;?K?????????????.T?????? ??(CytotoxicTLymphocyte,CTL)???x??????,?R???(?I?O???R ??CD8 + ?aCD4 + T??????CD56 + NK????????,?O?????????? ?????2?d???)???????Ob,IL212??NK??????LAK???????? ?????R???O,??????T???????????+INF2,???E???R??T?? ??????????b,?J???V???d???????TIL212?t?0??????????,?? ?tIL212?t???????T?4?;????????,?????ECTL?????????O?? ????INF2I NF2T NF2,?M???I???E?????????1???????t?0???? bm1bp b,?J?? ?V???d???????TINF2TNF2,???C?g ?3??INF2INFI????E?4?;?+?.?I???????O?????????4?;?? ???????:???Ob,?????????????TT?????????????(?I?????? ?,?H,?R?a??T?????????????(??????????INF2TNFI??? ???:?4?;????????????,???1?I??CD34 + ????Fas????????, Fas?t?????????,?.?????????????h?t?g???????2?????C?? ???????4?;???????? bm2bp b,???a.INF2TNFI????????????. ?a?w(NO)?h?x?????+CD34 + ?????Y??NO???h?x,NO?????? ???????.???O?????????????????2b,TNFI????????R???,?? A1b3A2,?????+?????????a?E???u???4,?O???S???6???2?d?? ?+?????G???????.?a??,?????l?????????H??,?4?xDNA?? ??????,?????????????????(?a,?????M?????????????O???: ?4?;?????????+?? bm3,4bp b, ?J?m?????????????????a?t???????????????,?H???4?; ???:???????)?;???E,???4?????????????G?I?O?????????d ?????????Ob,?????????????R?a???????????????????m??, ?(?E???????????????????(??????,???F???????????T???? ?????????3,???x?t???+?????.?k?;?????E?:b3?r???????)?? ???????I???vb, ??b??Ib???b??w 1b?PlataniAS,DhuikK,SamJ,etal.Alterationinlymphocytephenotyand lymphokineinpatientswithaplasticanemiafollowingantithymocyteglobulin (IPG)therany[J].Blood,1998,66(2):347??351 2b?LiuH,MiharaK,KimuraA,etal.InductionofapoptosisinCD34+ cellsby serafrompatientswithaplasticanemia[J].HiroshimaJMedSci,1999,48 (2):57??63. 3b?BelizarioJE,DinarelloCA.Interleukin1,interleukin6,tumornecrosisfac2 tor,andtransforminggrowthfactorbetaincreasecellresistancetotumor necrosisfactorcytotoxicitybygrowtharrestintheG1phaseofthecellcycle [J].CancerRes,1991,51(9):2379??2385. 4b?DemeterJ,MesserG,SchrezenmeierH,etal.Clinicalrelevanceofthe TNF2alphapromoter/enhancerpolymorphisminpatientswithaplasticane2 mia[J].AnnHematol,2002,81(10):566??569. ???t?o???????h????CT???? ?????[???g?,???i?R???0?L??b?(?[???gb?538001)b??????) b?b?bx????bib?????b?????CT?????t?o???????h???????????vb,????b??????.?(??120?????t?o???????h?????B????????CT ?;??b,????b????t?o???????h???o?????,?H?R???????E:(1)?o?????????+???.b3???????x103??(85183%);(2)???????????? 86??(71160%);(3)???????z??35??(29117%);(4)?o?????+??????21??(17150%);(5)???????a/???t????????19?? (15183%);(6)?????????a9??(715%);(7)?t?o???????G??6??(5%)b,????b?CT???????T???0?E?t?o???????????????????( ?z??,?E???t?o??????????????????????????????????,???z???B???????????????????)?? ???o??b, bx???w??bib????t;?o???????h??;???j?V???g;X???????E bx?d???(????bib?R68115 CTdiagnosisofthefacetsyndromeoflumbarspine MORui2jia DepartmentofRadiology,FangchengangMunicipalPeopleπ sHospital,Guangxi(Fangchengangb?538001) bxbib?Ojb?TyTfyf1Mb?T Tfffyyy1Rb?TyT ()yyyf(3,85183%);()j(86,16%);(3) 133?????R??b?2004??3?hb??J26??b??J3?+ AbstractbectiveostudtheCdiagnosticvalueintheacetsndromeolumbarspineethodsheclinicalrepresentations andCindingso120cascswithacetsndromwereretrospectivelanalsedesultshemainabnormaltiesdemonstratedbCincluded: 1hpertrophandosteophteoarticularprocess10cases2ointinterspacenarrowingcases71subchondral sclerosiserosion(35cases,29117%);(4)vacuumphenomenon(21caese,17150%);(5)stenosisoflateralrecessandintervertebralforamen (19cases,15183%);(6)calcificationinjointcapsule(9cases,7150%);(7)subluxation(6cases,5%)1Conclusionsb?CTscancandemon2 strateanatomicstructurcsandpathologicchangesofjointsclearly,andprovidereliableimagesfordiagnosisoffacetsydrome,andhaveimportant significanceinimprovingdignosisandtreatmentofthepatientswithpaininthelowbackandleg1 Keywordsbib?Lumbarspine;Facetsyndrom;Tomography,X2raycomputed b?b????????g?B???H????,Ghormley???t?o?????????B???? ?????y?E?t?o???????h??b,?????O?H??X???????d?y?l?? ????,????????????????,???;CT?O?1???d?????????O,???? ?x?)???? bm1??6bp b,?E????????????????,???:??1998??1?h1 ????2003??6?h30?????????????O?i????CT???????????? ?E???t?o???????h????120???????????.?(??,???O????CT ???????????????vb, 1b??V???t???? 111b????J?V??b??J????120??,???d?782??,??38??,???? 36??73??,????????5613??,???21?S?h??33??b,???T?R?? ???E??????,???d????????23??,??????82??(???t?????? 61??,???t??????21??),????????15??,21???B?)?????. ????;?????????????????]?.56??,8???????2???????t?P (????3??,????5??)b, 112b?????????b????OSomatomHiQ????CT?????E,?????? ??,??????,?????????????t????????????,96???GL3??S1b3 17???GL2??S1b37???GL1??S1???5?????t???1?2?n?????? ??,????????133KV,175mA,217S,???????????9512??512,?j ???j?????E5mm,???????????????V??b, 113b??????r?? bm1bp b????T?)??????????,CT?????????o???? ?????.?z??b, 2b???b??? 211b????t?o????????CT???? 21111b??o?????????+???.103??(??85183%),?g??312?S?o ????b,?????E?????????.,?????O????b3?????????n?????? ?x,?A???T?1?2???????????T??b3????b, 21112b?????????????86??(??71167%),?g??216?S?o????b, ?????E?????????o??2mmb, 21113b????.???????z??35??(??29117%),?g??82?S???? ??b,?????E?????????ab3?????y??,?????O?t?????O?????5 ??,???d23??(19116%)b346?S?????????????O?2???.?z??b, 21114b?????4e?+??4D??21??(17150%),?g??37?S?o????b,?? ???E?o???????????)?m???????????<,???y???f?(????b3???? ???a???h??b, 21115b??????????a9??(7150%),?g??12?S?o????b,?????E ???????????O????b3???????????.?????????????a??b, 21116b??t?o???????G??6??(5%),?g??12?S?o????b,???? ?E?1?2???????????.?????????h?f??b3?????????y?????.?? ???a?????o?????????y????b, 11(5183%),???d?????? ??????????,?????t??????????,?????????t?????C???? ??3??b, 212b??g???t??b?L1/24??(3133%),L2/313??(10183%),L3/425 ??(20183%),L4/5102??(85%),L5/S162??(51167%)b,?G???? ??L4/5???+??????,L5/S1b3L3/4?5??,L2/3??L1/2???ib,???????? ??31??,??????????73??,3??3?S???1????????16??b,?? ??????33??,????????87??b, 213b???????b?120???t?o???????d?)112???????)?????a?? ??????????,??93133%b,???d:(1)???t????????72?? (60%),106?S?t????,???d17??21?S?t?????)4e?+??4D????; (2)???t????????51??(4215%),65?S?t????,???d9??12?S ?t?????)4e?+??4D????;(3)?????o????32??(26167%),89?S ??????;(4)?t???t?n????????26??(21167%),?g??28?S?t ??b,(5)?1?t???G7??(5183%),???d?t?l?P???????G2??,?? ???????G5??;(6)?t?????s???a9??(7150%),?g??16?S?? ??;(7)?????s????6??(5%);(8)?t??????5??(4116%),?? ?d4???????.,1?????P?.;(9)?????.????2??(1167%)b, 3b???b??? 311b?????b????J???E?t?o???????g?G???????.???4?x??,?? ?g???????o?????????+?????????.?u??????,???C???????? ??,?????????????b????b3??????????,?????????????????? ?????+???.???????2?????ab,???w?????t?o???????+?????? ?????g???????Pb3????b3???????????+??,???1??????????1 ??3?????????4?x?t?o?????????? bm1bp b,???t?o???????????. ???R???t?????????????)??,?2???????????L?????????.,?m ?????R???????1?????????t???.,?;???g?o?????????+???? ??????b,?o?????+???????????+?g?G???o???????u?f?????x ??????,?????a???d???m?????????d???0????,???<???S???? ?C?4?x??,?????????d???w?m?k??????,?????i???t?E???? ?6,???l???0????,?;???????????m?????w?m?E?Rb,???????o ?????+???????????????E?????????????+?????????.?????? ???[,?????+????,?????????????????????y?],???C???l?p ???t?????G bm5bp b, 312b??t?o???????t????????????b??J??120???d?)112???? ??1???a1?????1????????,?????P?.?t???????a,???????t ?t?o???????)???v???????????;b,?)???T???E?t?o???????? ???.?????J???+???t???????????t bm6bp ,???)???T???E?????? ???g???E?????a?L??????????,???d?????????????g?????? ???????????a?????+???????????????? bm2bp b, 313b????t?o???????h???p???????????E?( bm3bp b??o???????? ?.?????????a?????4?x???t????:(1)?1?????????+???.?i?? ??????????????????,?i?1???????t???????t???P?o,?????? ???2??????????;?2?????????+???.,?????t??????b3???t?? ?P?o,?????t??????,??????????b,()?o???????+???.,???? ???B??,????????????,???????G????,???????b???t?o???? 233GuangxiMedicalJournal,Mar.2004,Vol.26,No.3 217/191 792 ,?????t???????+??,?p???a?????t???????????s???? ???.??,?????4?x?t??b3?????????t??????????b, 314b????t?o?????????B??????b????t?o?????????B?????? ?E bm1,4bp :(1)?????H?0?L???????.??;(2)?????????????????l ??;(3)?o?????E????;(4)?2?????????????????(????;(5)?? ???H??????????b,?C?J??120???d?)112??????1???a1?? ???1????????,?<???B???????y?j?C?E?????,?.,X???????? ?????T???0?E?t?o???????????????z??,?H?l?o???a????b, ????,???.?????????d?3?????T,?H??X???????;???y???? ????????????????,????CT????,CT?H???T???0?E?o?????? ????????????b, 315b?CT?????t?o???????h???????????vb?(1)?H??X???? ???y???????b?0?E?o??????????????,CT??????????????, ?M???I????????????,???T???0?E???t?o?????????3?????? ?,?H?z??,?P?O???????g???????o?????????????????????? ?t?????t?????,?H;(2)CT???????(??????,?l???????o???? ?????+b3???????????????O?2???.????????b,?M??CT?v?? ??,????????X????????????????4e?+??4D?????????????a; (3)CT???C???????????o??????????,?l???0?E?????o???? ?y?????????????G??;(4)?E?S?????????????b?????o?????? ????????????b3?t??????????,?P???K???????????????????? ?????z?M????????;(5)?????t????????b3???H?G??b3???????? ?????????t?????t??????b3?????s????b3???ab3???????+???? ???t?o??????????????,CT???T???0?E???????5?.???????? ????;(6)?t????????????????????b3?t???????????B?????? ???????C,?Y?????????y?C,CT??????????????,???B???:?? ?????????????????g?????)???????vb, ??b??Ib???b??w 1b??H????,?????e,???.??,??1CT????[J]1, 1994,28(3):175??1771 2b???????1CT????[J]1,2000,17(1):36 ??371 3b???????1CT?????????(??[J]1, 1999,19(5):588??5891 4b??3???x,????,???+1CT???????t?o???????h???????v[J]1, 2000,8(2):111??1121 5b??4????,??????,????1CT????[J]1, 2002,18(8):702??7031 6b??B????11,1994,4(4):235?? 2361 B???p?????)???????????????????B????????A? ???e?3???]?,?????d?R??b?(???]b?518001)b???????b????N?9 b?b?bx????bib?????b?????B???p???2???)???????????????????B??????????b,????b?? ??E?(??????b,?????????5????????B ???;?E???R???????????)????????????,?t????B??????,?????????????????ab,????b???? ???168??,??????(??B???p??) 172??,?)?????(?k?E91%??79%,P<0101b,????B???p???2???????????n????B???p?? ??????b, bx???w??bib??????B????;B???p??;???)???????? bx?d???(????bib?R69212 Treatmentofkidneyhydrocelewithchannel2massaging instrumentundertypeBultrasonicmonitor GAOYang2hong,CHENXing2gui LuohuHospitalofTraditionalChineseMedicine,Shenzhen,Guangdong,China(Shenzhenb?518001) bxAbstractbib?Objectiveb?Tostudytheefficacyoftheinstrumentalchannel2massageonkidneyhydroceleundertypeBultrasonicmonitor2 ing1Methodsb?Patientswithkidneyhydrocelewererandomlydistributedintothecontrolledandtestedgroups1Thelocationofhydroceleinpa2 tientsoftestedgroupwasdeterminedwithultrasonicmornitoringbeforeandafterthephysiotherapy1Andthatinpatientsofcontrolledgroupwas notdeterminedwithultrasonicmonitoringbeforebutwasdoneafterthephysiotherapyforresultobservation1Resultsb?Theefficaciesofthethera2 pyinthetested(168cases)andcontrolled(172cases)groupswere91%and79%respectively(P<0101)1Conclusionb?Thetherapywithul2 trasoniclocationissuperiortothatwithoutultrasoniclocation1 Keywordsbib?Kidneyhydrocele;TypeBultrasonic;Channel2massage b?b??i???p?????)???????????????%??????????????????,?Y?????H???????)???????????.,?m???????R???????B???? b?A?b????e?3?d?R?????(?;???????? 333?????R??b?2004??3?hb??J26??b??J3?+