40例中老年神经根型颈椎病患者多体位MRI观察分析  

Observation and Analysis of Multi-position MRI in 40 Cases of Middle-aged and Elderly Cervical Radiculopathy

作　　者：许鸿智[1] 林定坤[1] 陈博来[1] XU Hongzhi;LIN Dingkun;CHEN Bolai(Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, China.)

机构地区：[1]广东省中医院骨科,广州510120

出　　处：《中国中医骨伤科杂志》2018年第7期51-53,57,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：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)

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(STI和SI)。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,STI和SI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。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.

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 

分 类 号：R681.5[医药卫生—骨科学]