腰椎间盘突出症中医证型与1.5T磁共振影像的相关性探讨  

Correlation Between TCM Syndrome Types and 1.5 T Magnetic Resonance Imaging in Patients with Lumbar Disc Herniation

作　　者：梁喜章[1] 胡德志[1] 

机构地区：[1]广州中医药大学附属清远中医院,广东清远511500

出　　处：《中外医学研究》2016年第35期3-5,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨腰椎间盘突出症中医各证型的1.5 T磁共振(MRI)影像学表现,为中医辨证分型提供影像学参考。方法:对150例腰椎间盘突出症进行1.5 T磁共振检查和中医辨证分型,分析各证型的1.5 T磁共振影像学特点,并进行统计分析。结果:与其他类型比较,血瘀型单个椎间盘的突出程度重(P<0.05),椎体、小关节及椎间盘退变程度轻(P<0.05);肝肾亏虚型腰椎间盘突出数量多,椎体、小关节及椎间盘退变程度重(P<0.05);寒湿型、湿热型介于两者之间。结论:腰椎间盘突出症中医证候分型与1.5 T磁共振影像学表现有一定的相关性,磁共振影像学表现可以作为腰椎间盘突出症中医辨证施治的量化参考。Objective： To explore the 1.5 T magnetic resonance（MRI） imaging features of various syndromes of tnmbar intervertebral disc herniation, and to provide the imaging reference for TCM syndrome differentiation and typing.Method： 150 cases of lumbar disc herniation were examined by 1.5 T magnetic resonance examination and TCM syndrome differentiation.The characteristics of each syndrome type in 1.5 T magnetic resonance imaging were analyzed, and statistical treatment was performed.Result： Blood stasis type was characterized by single disc protrusion in heavy degree, and degeneration of vertebral body, small joints and intervertebral disc inlight degree, which compared with the other type, there were significant differences（P〈0.05）. The type of liver and kidney deficiency was characterized by more lumbar intervertebral disc herniation, and degeneration of vertebral body, small joints and intervertebral disc in heavy degree, which compared with the other type, there were significant differenees（P〈0.05）.Cold type and damp heat type was somewhere in between. Conclusion： TCM syndrome points and 1.5 T magnetic resonance imaging findings of lumbar disc herniation has certain correlation, and magnetic resonance imaging findings can be as a quantitative reference for lumbar disc herniation syndrome differentiation of traditional Chinese medicine treatment.

关 键 词：腰椎间盘突出症 辨证分型 磁共振 

分 类 号：R274.9[医药卫生—中西医结合]