基于MRI的腰椎间盘突出重吸收的影像学特征及预测研究  

Prediction of regression of lumbar disc herniation based on MRI

作　　者：张丽丽 宋青凤 李登宇 张斌青 ZHANG Li-li;SONG Qing-feng;LI Deng-yu;ZHANG Bin-qing(Department of Rheumatology,Luoyang Orthopedic Traumtological Hospital of Henan Province,Henan Province Orthopedic Hospital,Luoyang,Henan 471099,China)

机构地区：[1]河南省洛阳正骨医院,河南省骨科医院风湿科,河南洛阳471099

出　　处：《医药论坛杂志》2025年第5期558-560,F0003,共4页Journal of Medical Forum

基　　金：洛阳市科技攻关项目(2101049A)。

摘　　要：目的探讨腰椎间盘突出重吸收的影像学特征,以提供手术或非手术治疗选择的客观依据。方法将2016年12月—2019年12月河南省洛阳正骨医院65例患者分为突出型、脱出型和游离型,以及将突出椎间盘分为3级,然后测量和计算各分型的重吸收率并进行统计学分析。结果65例患者32例发生重吸收,重吸收率占49.2%,三组患者的性别及年龄比差异无统计学意义(P>0.05)。腰椎间盘突出型、脱出型以及游离型的重吸收率分别是30.0%(3/10),45.7%(21/46)、88.9%(8/9),三组之间比较差异具有统计学意义(χ^(2)=8.176,P<0.05);椎间盘水平位移程度1、2、3级的重吸收率分别是28.6%(2/7),40.5%(17/42)、75.0%(12/16),三组之间比较差异具有统计学意义(χ^(2)=6.909,P<0.05)。结论突出腰椎间盘穿破后纵韧带且位移程度越大者越容易发生重吸收,核磁共振成像(magnetic resonance imaging,MRI)可为腰椎间盘突出症的手术或非手术治疗的选择提供客观指导。Objective To investigate the imaging predictive value of regression of lumbar disc herniation based on magnetic resonance imaging(MRI),and to provide an objective basis for the selection of surgical or non-surgical treatment for lumbar disc herniation.Methods The MRI and clinical data before and after treatment of 65 cases with lumbar disc herniation were compared.65 cases of lumbar disc herniation were divided into protrusion type,extrusion type and free type according to the shape of lumbar disc herniation,and the three grades based on the location by the MSU.The regression rate of each classifica-tion was measured and calculated,and the statistical analysis was carried out to explore the prediction value of the regression of lumbar disc herniation based on MRI.Results Among 32 of 65 patients had regression,and the regression rate was 49.2%.There was no significant difference in sex and age between the regression group and the non-regression group(P>0.05).The regression rate of protrusion,extrusion and free lumbar disc was 30.0%(3/10),45.7%(21/46)and 88.9%(8.9),respectively.There were significant diferences among the three groups(χ^(2)=8.176,P<0.05).The regres-sion rate of grade 1,2 and 3 disc displacement was 28.6%(2/7),40.5%(17/42)and 75.0%(12/16),respectively.There were significant differences among the three groups(χ^(2)=6.909,P<0.05).Conclusion MRI can provide objective guidance for the selection of surgical or non-surgical treatment for lumbar disc herniation.Lumbar disc herniation perforated the posterior longitudinal ligament and with high degree of displacement has high regression possibility.

关 键 词：腰椎间盘突出 后纵韧带 核磁共振成像 重吸收 

分 类 号：R445.2[医药卫生—影像医学与核医学]