CT数据三维数字化仿真重建诊断神经根型颈椎病的价值及临床应用  

Value and clinical application of CT data three-dimensional digital simulation reconstruction in the diagnosis of nerve root cervical spondylosis

作　　者：姚旭强 乔冠莹 杨阳[3] YAO Xuqiang;QIAO Guanying;YANG Yang(Department of Medical Imaging,Korla Hospital,Second Division of Xinjiang Production and Construction Corps,Xinjiang Uygur Autonomous Region,Korla 841000,China;Department of Rehabilitation Physiotherapy,Korla Hospital,Second Division of Xinjiang Production and Construction Corps,Xinjiang Uygur Autonomous Region,Korla 841000,China;Department of Cardiology,Korla Hospital,Second Division of Xinjiang Production and Construction Corps,Xinjiang Uygur Autonomous Region,Korla 841000,China)

机构地区：[1]新疆生产建设兵团第二师库尔勒医院医学影像科,新疆库尔勒841000 [2]新疆生产建设兵团第二师库尔勒医院康复理疗科,新疆库尔勒841000 [3]新疆生产建设兵团第二师库尔勒医院心血管内科,新疆库尔勒841000

出　　处：《中国当代医药》2024年第35期96-100,共5页China Modern Medicine

摘　　要：目的探究CT数据三维数字化仿真重建诊断神经根型颈椎病(CSR)的临床应用价值。方法选取2022年3月至2024年3月第二师库尔勒医院接收的因骨性神经根管狭窄导致30例CSR患者的病例资料,纳入CSR组;另选取同期本院接收的经临床检查明确无CSR的30例患者的病例资料,纳入非CSR组;患者均接受CT数据三维数字化仿真重建检查,比较两组总颈神经根管最小斜矢状位截面积值;绘制受试者工作特征(ROC)曲线,分析CT数据三维数字化仿真重建诊断CSR的临床价值。结果30例CSR患者中,病变节段为C4/5、C5/6、C6/7分别有12例、10例、8例;各个节段总颈神经根管最小斜矢状位截面积平均为(25.49±3.05)mm^(2)。30例非CSR组各个节段总颈神经根管最小斜矢状位截面积平均为(27.72±3.05)mm^(2)。CSR组患者总颈神经根管最小斜矢状位截面积为(25.49±3.05)mm^(2),低于非CSR组的(27.55±3.24)mm^(2),差异有统计学意义(P<0.05)。经logistic回归分析,结果显示,总颈神经根管最小斜矢状位截面值与CSR有关(P<0.05);绘制ROC曲线图,结果提示,截面积值诊断CSR具有一定价值,AUC值为0.794(95%CI:0.682~0.905,P<0.05),且当截面积值的cut-off值取25.495 mm^(2)时,能够获得最佳诊断价值。结论CT数据三维数字化仿真重建诊断CSR具有一定价值。Objective To explore the clinical application value of CT data three-dimensional digital simulation reconstruction in the diagnosis of nerve root cervical spondylosis(CSR).Methods The data of 30 cases of CSR patients caused by boney root canal stenosis received by Korla Hospital of the Second Division from March 2022 to March 2024 were collected,and it was included in the CSR group.In addition,the case data of 30 patients received from the hospital in the same period with no CSR after clinical examination were collected,and it was included into non-CSR group.Patients all received CT data three-dimensional digital simulation reconstruction examination,comparing the minimum oblique sagittal cross-sectional area of the total cervical nerve root canal of the two groups.The subject's work characteristics(ROC)curve was drawed,and the clinical value of CT data three-dimensional digital simulation reconstruction diagnosis CSR was analyzed.Results Among the 30 CSR patients,there were 12 cases,10 cases and 8 cases of C4/5,C5/6 and C6/7 respectively.And the average average of the minimum oblique sagittal section of the total cervical root canal of each segment was(25.49±3.05)mm^(2).The minimum oblique sagittal cross-sectional area of the total cervical nerve root canal in each segment of the non-CSR group of 30 cases was(27.72±3.05)mm^(2).The minimum oblique sagittal section of the total cervical root canal of patients in the CSR group was(25.49±3.05)mm^(2),which was lower than that of the non-CSR group(27.55±3.24)mm^(2),and the difference was statistically significant(P<0.05).After logistic regression analysis,the results showed that the minimum oblique sagittal cross-section value of the total cervical nerve root canal was related to CSR(P<0.05).The ROC curve was drawned,and the results suggested that the cross-sectional area value diagnosis CSR has a certain value,and the AUC value was 0.794(95%CI:0.682-0.905,P<0.05),and when the cut-off value of the cross-sectional area value is 25.495 mm^(2),the best diagnostic val

关 键 词：神经根型颈椎病 CT数据三维数字化仿真 最小斜矢状位截面积 诊断价值 

分 类 号：R323.1[医药卫生—人体解剖和组织胚胎学]