张刚,尚晓静,刘波,刘岘,吴珊珊,苏国义.多体位颈椎MRI诊断颈椎病[J].中国医学影像技术,2013,29(6):985~988
多体位颈椎MRI诊断颈椎病
Multiposition cervical MRI in the diagnosis of cervical spondylosis
投稿时间:2012-09-02  修订日期:2013-04-14
DOI:
中文关键词:  椎关节强硬  磁共振成像  椎间盘退行性变  多体位
英文关键词:Spondylosis  Magnetic resonance imaging  Intervertebral disc degeneration  Multiposition
基金项目:
作者单位E-mail
张刚 广东省中医院放射科, 广东 广州 510120 zhanggang1133@163.com 
尚晓静 广东省中医院放射科, 广东 广州 510120  
刘波 广东省中医院放射科, 广东 广州 510120  
刘岘 广东省中医院放射科, 广东 广州 510120  
吴珊珊 广东省中医院放射科, 广东 广州 510120  
苏国义 广东省中医院骨科, 广东 广州 510120  
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中文摘要:
      目的 探讨多体位颈椎MRI对颈椎病的诊断价值。方法 对30例临床诊断为颈椎病的患者进行颈椎中立位、过屈位、过伸位MR检查,比较三种体位下颈椎椎间盘突出矢状径指数(SI)的差异。结果 30例中共发现颈椎椎间盘突出92个,两两组间比较,三种体位下SI差异均有统计学意义(P<0.05);过屈位椎间盘突出程度最轻,过伸位椎间盘突出程度最重。结论 不同体位下颈椎MR检查显示椎间盘突出程度有所差异。多体位颈椎MRI对于临床选择颈椎病治疗方案有着重要意义,也为研究颈椎病发病机制提供了新的方法。
英文摘要:
      Objective To explore the value of multiposition cervical MRI in the diagnosis of cervical spondylosis. Methods Totally 30 patients with cervical spondylosis diagnosed clinically underwent MR examination in neutral, hyperflexion and hyperextension positions. The differences of cervical disc herniation sagittal diameter index (SI) were compared among three positions. Results In 30 patients, 92 intervertebral disc herniations were found. The differences of SI between the every two kinds of positions were statistically significant (all P<0.05). Moreover, the degree of intervertebral disc herniation was the most mild in the hyperflexion position and the most severe in the hyperextension position. Conclusion The degree of cervical disc herniation is different in the different position MR cervical examination. Multiposition cervical MRI provides a new method for the pathogenesis study of cervical spondylosis, which contributes to the treatment of cervical spondylosis in clinic.
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