MRI在腰椎间盘突出症神经根压迫中的应用进展  

Application Progress of MRI in Nerve Root Compression of Lumbar Disc Herniation

作　　者：韩姿钰 邵凯 陈安强 于昊 HAN Ziyu;SHAO Kai;CHEN Anqiang;YU Hao(Clinical Medical College of Jining Medical University,Jining 272013,China;Department of Medical Imaging,Affiliated Hospital of Jining Medical University,Jining 272029,China)

机构地区：[1]济宁医学院临床医学院,山东济宁272013 [2]济宁医学院附属医院医学影像科,山东济宁272029

出　　处：《医学综述》2024年第6期734-738,共5页Medical Recapitulate

基　　金：济宁市重点研发计划(2023YXNS085);齐鲁卫生与健康领军人才工程-杰出青年人才(2021-QLJQ-009)。

摘　　要：腰椎间盘突出症(LDH)是腰腿痛的主要病因之一,确定神经根受压水平及程度对于临床医师制订合理的治疗方案及预后评估均具有重要意义。磁共振成像(MRI)作为一种非侵入性、无辐射的成像技术,已成为LDH神经根受压诊断和评估的首选方法。磁共振神经成像序列可用于研究腰骶神经根的解剖学结构和走行,弥散张量成像则有助于了解神经根的生理功能,这些定性、定量的成像技术可提供更客观、更全面的评估,用于疾病诊断和康复结果的预测。因此,全面了解MRI在LDH神经根压迫中的应用进展,可以为疾病治疗方案的制订提供重要依据。Lumbar disc herniation(LDH)is one of the main causes of low back and leg pain.Determining the level and degree of nerve root compression is of great significance for the clinicians to formulate reasonable treatment plans and evaluate prognosis.Magnetic resonance imaging(MRI),as a non-invasive and radiation-free imaging technique,has become the preferred method for diagnosing and evaluating nerve root compression in lumbar disc herniation.Magnetic resonance neurography sequences can be used to study the anatomical structure and course of the lumbosacral nerve roots,while diffusion tensor imaging helps to understand the physiological function of the nerve roots.These qualitative and quantitative imaging features provide a more objective and comprehensive assessment,which can be utilized for the disease diagnosis and prediction of rehabilitation outcomes.Therefore,gaining a comprehensive understanding of the application progress of MRI in nerve root compression of LDH can provide important evidence for formulating the treatment plans.

关 键 词：腰椎间盘突出症 磁共振神经成像 弥散张量成像 神经根受压 

分 类 号：R445[医药卫生—影像医学与核医学]