多层螺旋CT诊断神经根型颈椎病椎间孔狭窄的价值和影像学特征  

Value and Imaging Characteristics of Multi-slice Spiral CT in Diagnosis of Intervertebral Foramen Stenosis of Cervical Spondylotic Radiculopathy

作　　者：闫映秀 YAN Yingxiu(Imaging Diagnosis Teaching and Research Office,Fenyang College,Shanxi Medical University,Fenyang,Shanxi 032200)

机构地区：[1]山西医科大学汾阳学院影像诊断教研室,山西汾阳032200

出　　处：《智慧健康》2024年第26期1-3,共3页Smart Healthcare

摘　　要：目的探讨采用多层螺旋CT诊断神经根型颈椎病椎间孔狭窄的价值及其影像学特征。方法选取2022年7月—2023年11月在本院治疗的86例神经根型颈椎病患者作为研究对象,所有患者均接受64排螺旋CT扫描。分析不同年龄段椎间孔狭窄节段情况以及不同节段椎间孔狭窄发病情况,比较不同年龄段发生椎间孔狭窄节段数目的差异,分析椎间孔狭窄部位分布情况、与性别特征的关系以及椎间孔狭窄的原因。结果年龄越大,椎间孔狭窄发生率越高,且各年龄段椎间孔狭窄发生率相比,差异具有统计学意义(P<0.05)。在所有节段中,C5~C6节段发生椎间孔狭窄的比例最高,为38.92%。年龄越大,椎间孔发生狭窄的范围越广,各年龄段发生椎间孔狭窄的节段数目相比,差异具有统计学意义(P<0.05)。男性椎间孔狭窄发生率显著高于女性,且左侧椎间孔狭窄占比高于右侧(P<0.05)。钩椎关节骨质增生是引起椎间孔狭窄的主要原因,占所有病因的57.14%。结论神经根型颈椎病椎间孔狭窄在多层螺旋CT成像中具有显著特征;C5~C6节段是椎间孔狭窄高发部位,以左侧椎间孔狭窄为主,且男性椎间孔狭窄发生率高于女性;随着年龄的增长椎间孔发生狭窄的范围越大。Objective To explore value and imaging characteristics of multi-slice spiral CT in diagnose of intervertebral foramen stenosis of cervical spondylotic radiculopathy.Methods The paper chose 86 patients with cervical spondylotic radiculopathy in our hospital from July 2022 to November 2023 as study subjects,treated with 64 slice spiral CT scans,and analyzed situation of intervertebral foramen stenosis in different age groups and incidence of intervertebral foramen stenosis in different segments,compared difference in number of segments with intervertebral foramen stenosis in different age groups,analyzed distribution of intervertebral foramen stenosis sites,relationship with gender characteristics,and causes of intervertebral foramen stenosis.Results The higher the age,the higher incidence of intervertebral foramen stenosis,there was statistically significant difference in incidence of intervertebral foramen stenosis between different age groups(P<0.05).Among all segments,proportion of intervertebral foramen stenosis occurring in C5-C6 segment was the highest,which was 38.92%.The higher the age,the wider the range of intervertebral foramen stenosis,there was statistically significant difference in number of stages of intervertebral foramen stenos is between different age groups(P<0.05).Incidence of male intervertebral foramen stenosis was significantly higher than females,proportion of left intervertebral foramen stenosis was higher than right vertebrae(P<0.05).Osteogenesis of the hooked vertebral joint was main cause of intervertebral foramen stenosis,accounting for 57.14%.Conclusion Multi-slice spiral CT imaging shows significant characteristics for intervertebral foramen stenosis of cervical spondylotic radiculopathy,C5-C6 segments are the high-risk areas for int ervertebral foramen stenosis,with main cause of left intervertebral foramen stenosis.Incidence of intervertebral foramen stenosis of males is higher than females,range of intervertebral foramen stenosis increases with age.

关 键 词：神经根型颈椎病 椎间孔狭窄 多层螺旋CT 

分 类 号：R681.55[医药卫生—骨科学] R816.8[医药卫生—外科学]