基于PACS软件定量体积测量“监控”的突出颈椎间盘体积观察  

Observation of herniated cervical intervertebral disc volume based on quantitative volume measurement “monitoring” based on PACS software

作　　者：张春霖[1] 刘洋[1] 尚利杰 严旭[1] 宁永明[1] 李东哲[1] 董超 曹争明 Zhang Chunlin;Liu Yang;Shang Lijie;Yan Xu;Ning Yongming;Li Dongzhe;Dong Chao;Cao Zhengming(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州大学第一附属医院骨科

出　　处：《中国组织工程研究》2020年第18期2888-2892,共5页Chinese Journal of Tissue Engineering Research

摘　　要：背景:突出颈椎间盘体积测量数据是定量评估颈椎间盘退变程度的重要参数,但突出颈椎间盘体积的测量仍面临诸多问题,如测量方法不够理想、测量误差范围不明确等。目的:探讨PACS软件测量突出颈椎间盘体积的精确性,为临床观察研究颈椎间盘退变提供可靠精确的测量方法和依据。方法:通过PACS软件对已知体积为5.0 mL的生理盐水多次测量得出误差率,参考该误差率,“监控”分析30例内窥镜下微创颈椎管成形手术前后突出颈椎间盘的体积变化。试验于2019-09-26经郑州大学第一附属医院伦理学委员会批准,审查编号:2019-KY-274。结果与结论:①对已知体积的生理盐水测量,发现PACS软件测量的误差率为±5%,提示用PACS软件测量突出颈椎间盘体积是一种精度较高且简便易行的方法;②内窥镜下微创颈椎管成形后突出颈椎间盘体积缩小吸收率为5%-100%者有70个,吸收比为76.1%(70/92);体积增大有11个,但增大率均未超出5%;③内窥镜下微创颈椎管成形后突出颈椎间盘体积缩小或消失最早为7 d,最长为76个月;④内窥镜下微创颈椎管成形后疗效为优者11例,良15例,可4例,优良率为86.7%。BACKGROUND:Herniated cervical intervertebral disc volume measurement is an important parameter for quantitative evaluation of cervical disc degeneration,but it faces a lot of problems such as different measurement standards and the undefined measurement error range.OBJECTIVE:To investigate the accuracy of PACS software in measuring cervical disc volume,provide reliable measurement methods and accurate data support for clinical observation and research on cervical disc volume change and degeneration.METHODS:The error rate was obtained by repeated measurements of the normal saline with a known volume of 5.0 mL by means of PACS software.With reference to this error rate,volume changes of cervical disc herniation before and after cervical microendoscopic laminoplasty were“monitored”and analyzed in 30 cases.This study was approved by the Ethics Committee of the First Affiliated Hospital of Zhengzhou University(approval No.2019-KY-274)on September 26,2019.RESULTS AND CONCLUSION:(1)For the measurement of normal saline with known volume,it was found that the error rate of measurement by PACS software was±5%,suggesting that the measurement of cervical disc volume by PACS software is a simple and accurate method.(2)After cervical microendoscopic laminoplasty,there were 70 patients with reduced cervical disc volume reduction absorption rate of 5%-100%,and the absorption ratio was 76.1%(70/92).The volume increased by 11,but the increase was not more than 5%in the patients with cervical disc herniation after treatment.(3)The spontaneous disappearance or reduction of the herniated cervical disc after cervical microendoscopic laminoplasty was as early as 7 days,and the longest was 76 months.(4)The effects were excellent in 11 cases,good in 15 cases,and fair in 4 cases.The excellent and good rate was 86.7%.

关 键 词：颈椎间盘突出 内窥镜下微创颈椎管成形 定量体积物体测量 PACS软件 自然吸收 临床疗效 

分 类 号：R445.2[医药卫生—影像医学与核医学] R681.5[医药卫生—诊断学]