基于DTI对枕下三角肌群与颈源性头痛的相关性研究  

A study on the correlation between the state of the suboccipital deltoid group and cervicogenic headache base on DTI

作　　者：邢海昌 张万里[2] XING Haichang;ZHANG Wanli(The Affiliated Hospital of Shandong University of TCM,Jinan 250014,P.R.China;Shandong University of Traditional Chinese Medicine,Jinan 250355,P.R.China)

机构地区：[1]山东中医药大学附属医院放射科,山东济南250014 [2]山东中医药大学,山东济南250355

出　　处：《医学影像学杂志》2018年第8期1250-1253,共4页Journal of Medical Imaging

摘　　要：目的探讨枕下三角肌群状态与颈源性头痛的相关性。方法对观察组30例颈源性头痛患者及对照组30例健康志愿者行3D BRAVO序列和DTI成像,测量观察组患侧与健侧、观察组患侧与对照组同侧的枕下三角肌群(头后大直肌、头上斜肌、头下斜肌)各向异性分数(FA)值、表观扩散系数(ADC)值。对各组参数值进行统计学分析。结果1)30例观察组患者自身患侧与健侧FA值均存在数据差异,但仅头后大直肌与头上斜肌之间的差异存在统计学意义(P<0. 05),而头下斜肌的患侧与健侧对比无统计学意义;30例观察组患者自身患侧与健侧ADC值有差异,但仅有头后大直肌与头上斜肌之间的差异有统计学意义(P <0. 05),而头下斜肌的患侧与健侧对比虽然存在差异,但无统计学意义(P> 0. 05);2)观察组患侧枕下三角肌群与对照组同侧枕下三角肌群ADC值及FA值均有明显差异,该差异具有明显统计学意义(P <0. 05)。结论 DTI对于判断枕下三角肌群状态与颈源性头痛发病之间的相关性有一定的临床参考价值。患侧枕下三角肌群紧张程度越大,ADC值越高,FA值越低,越有可能发生颈源性头痛。Objective To investigate the correlation between the state of the suboccipital deltoid group and Cervicogenic Headache（CEH）. Methods The 3 D BRAVO sequence and DTI imaging were performed on 30 cases of cervical headache in the observation group and 30 healthy volunteers in the control group by 1. 5 T MRI. The FA value and ADC value of the suboccipital deltoid group on the affected side of the observation group,the healthy side of the observation group and the ipsilateral in the control group were statistically analyzed. Results 1） 30 patients in the observation group had differences in their FA values between the affected side and the healthy side（P〈0. 05）,but there was no statistically significant difference between the affected side of the inferior oblique muscle and the healthy side. 30 patients in the observation group had differences in ADC values on the affected side and the healthy side,but the contrast between the affected side and the contralateral side of the inferior oblique muscle there was no statistically significant difference（P〉0. 05）; 2） The ADC value and FA value of the suboccipital deltoid group in the observation group were significantly different from those in the control group,and the difference was statistically significant（P〈0. 05）. Conclusion DTI has a certain clinical reference value for judging the correlation between the state of the suboccipital deltoid group and CEH. The greater the strained degree of the deltoid group,the higher ADC value and the lower FA value,the more likely it is to have CEH.

关 键 词：磁共振成像 颈源性头痛 枕下三角肌群 

分 类 号：R445.2[医药卫生—影像医学与核医学] R747.2[医药卫生—诊断学]