多体位磁共振成像对颈椎病诊断价值的初步研究  

Preliminary Study of Multi-position Magnetic Resonance Imaging in the Diagnosis of Cervical Spondylosis

作　　者：孙家栋[1] 杜忠德[1] 钱学江[2] 

机构地区：[1]解放军第89医院神经内科,山东潍坊261021 [2]解放军第89医院影像科,山东潍坊261021

出　　处：《医学新知》2013年第3期176-178,共3页New Medicine

摘　　要：目的研究分析多体位磁共振成像在颈椎病诊断中的应用价值，为临床诊断颈椎病提供参考和借鉴。方法颈椎病患者52例，均进行多体位磁共振成像诊断，包括中性自然位、前屈位和后伸位。对比观察不同体位对病变颈椎的检出价值。结果不同体位检出病变颈椎间盘数：中性自然位74个，前屈位112个，后伸位109个，前屈位检出数最多；加重椎间盘数：前屈位41个，后伸位52个；椎管内硬膜囊前间隙狭窄数：中性自然位18个，前屈位24个，后伸位17个，差异有统计学意义。结论在临床诊断颈椎病过程中使用多体位磁共振的效果更好，能够更多地检出病变颈椎，并发现严重病变颈椎，观察是否存在椎管内硬膜囊前间隙狭窄。Objective To explore the application value of multi-position magnetic resonance imaging in the diagnosis of cervical spondylosis. Methods 52 patients with cervical spondylosis underwent multi-position magnetic resonance imaging including neutral position, anterior flexion and posterior extension. Detection numbers of different positions were compared. Results Lesions of cervical disc were 74 （neutral position）, 112 （ anterior flexion）and 109 （posterior extension）. Numbers of aggravated intervertebral disc were 41 （anterior flexion）and 52 （posterior extension）. Numbers of spinal stenosis were 18 （ neutral position） ,24 （ anterior flexion） and 17 （ posterior extension）, and there were significant differences among them. Conclusion Multi-position magnetic resonance is better in the diag- nosis of cervical spondylosis. It can detect more lesions of cervical vertebra,find aggravated cervical vertebra, and ob- serve the existence of spinal stenosis.

关 键 词：颈椎病 磁共振成像 体位 

分 类 号：R445.2[医药卫生—影像医学与核医学]