[1]许鸿智林定坤陈博来.40例中老年神经根型颈椎病患者多体位MRI观察分析[J].中国中医骨伤科杂志,2018,26(07):51-53,57.
 XU Hongzhi LIN Dingkun CHEN Bolai.Observation and Analysis of Multi-position MRI in 40 Cases of Middle-aged and Elderly Cervical Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(07):51-53,57.
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40例中老年神经根型颈椎病患者多体位MRI观察分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年07期
页码:
51-53,57
栏目:
临床论著
出版日期:
2018-07-02

文章信息/Info

Title:
Observation and Analysis of Multi-position MRI in 40 Cases of Middle-aged and Elderly Cervical Radiculopathy
文章编号:
1005-0205(2018)07-0051-03
作者:
许鸿智林定坤陈博来
1广东省中医院骨科(广州,510120)
Author(s):
XU Hongzhi1 LIN Dingkun1△ CHEN Bolai1
1Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, China.
关键词:
中老年神经根型颈椎病 多体位磁共振 椎管有效矢状径 椎间盘突出指数
Keywords:
Keywords: cervical spondylotic radiculopathy multi position magnetic resonance imaging effective sagittal diameter of vertebral canal intervertebral disc herniation index
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察分析40例中老年神经根型颈椎病患者不同体位MRI的变化,探讨可能存在的规律。 方法:纳入40例中老年神经根型颈椎病患者,应用多体位磁共振(MRI)进行观察,测量不同体位下椎管有效矢状径及椎间盘突出指数(STISI)。 结果:40例患者全部完成多体位MR检查。不同体位下的椎管有效矢状径差异有统计学意义(P<0.01或P<0.05)。AB,CD,EF,GH,STISI各值在不同体位下两两比较,差异均无统计学意义(P>0.05)。 结论:在不同体位下,椎管有效矢状径存在明显变化规律:前屈位>中立位>后伸位,但椎间盘的突出程度并未在前屈位时减轻、后伸位时增加。
Abstract:
Abstract Objective:To observe and analyze the changes of multi-position MRI in 40 middle-aged and elderly cervical radiculopathy patients, and to discuss the possible rules. Methods:A total of 40 patients with cervical radiculopathy in middle and old age were observed by multi- position magnetic resonance(MRI). The effective sagittal diameter and disc herniation index(STI, SI)were measured at different positions. Results:All 40 patients completed the multiple position MRI examination. There were significant differences in the effective sagittal diameter of the vertebral canal in different positions(P<0.01 or P<0.05). The values of AB, CD, EF, GH, STI and SI were compared in 22 different positions, and there was no significant difference. Conclusion:There were obvious changes in the effective sagittal diameter of the spinal canal in different body positions: the anterior flexion position, the neutral position and the posterior extension. However, the degree of protrusion of the intervertebral disc did not decrease in the anterior flexion position and increased in the posterior extension.

参考文献/References:

[1] Binder AI. Cervical spondylosis and neck pain[J].BMJ,2007,334(7592):527-531.
[2] Miura J,Doita M,Miyata K,et al. Dynamic evaluation of the spinal cord in patients with cervical spondylotic myelopathy using a kinematic magnetic resonance imaging technique[J].J Spinal Disord Tech,2009,22(1):8-13.
[3] 张刚,尚晓静,刘波,等.多体位颈椎MRI诊断颈椎病[J].中国医学影像技术,2013,29(6):985-988.
[4] Kameyama T,Hashizume Y,Ando T,et al.Morphometry of the normal cadaveric cervical spinal cord[J].Spine,1994,19(18):2077-208l.
[5] Thelander U,Fagerlund M,Friberg S,et al.Describing the size of lumbar disc herniations using computed tomography:a comparison of different size index calculations and their relation to sciatica[J].Spine,1994,19(17):1979-1984.
[6] 周仪,李加斌,刘其风,等.颈椎间盘突出MRI测量的临床意义[J].现代康复,2000,4(7):1054-1055.
[7] 吴在德,郑树,陈小平,等.外科学[M].5版.北京:人民卫生出版社,2001:96.
[8] 刘王珊.不同角度牵引治疗颈椎病178例的临床观察[J].黑龙江医学,2001,25(6):435.
[9] 焦欣,籍冬冬,彭坤,等. 牵引治疗神经根型颈椎病的研究概况[J].按摩与康复医学,2016,7(22):1-3.
[10] 汪芳俊,魏威,廖胜辉,等.前屈位不剧角度牵引治疗颈椎病的有限元分析[J].中国骨伤,2014,27(7):592-596.
[11] 麻国尧,汪芳俊,魏威,等.不同角度牵引治疗颈椎病的生物力学研究[J].中华全科医学,2015,13(8):1223-1225.
[12] Endo K,Suzuki H,Nishimura H,et al. Kinematic analysis of the cervical cord and cervical canal by dynamic neck motion[J].Asian Spine J,2014,8(6):747-752.
[13] 徐希春,曲林涛,刘文娟.多体位磁共振成像对颈椎病诊断价值的初步研究[J].放射学实践,2010,25(7):809-811.
[14] Sayit E,Daubs MD,Aghdasi B,et al. Dynamic changes of the ligamentum flavum in the cervical spine assessed with kinetic magnetic resonance imaging[J].Global Spine Journal,2013,3(2):69-74.

备注/Memo

备注/Memo:
基金项目:广东省中医药局科研项目(20171108) 广东省中医院中医药科学技术研究专项 (YK2013B1N06) 通信作者 E-mail:346137590@qq.com
更新日期/Last Update: 2018-07-02