| 脊髓型颈椎病MRI信号改变与术后恢复的相关性分析 |
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Received:July 27, 2004
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| 作者 | Author | 单位 | Unit | E-Mail |
| 潘哲尔 |
PAN Zhe-er |
复旦大学附属华山医院骨科,上海200040 |
De pa rtment of Orthopaedics,the Huashan Affi lia ted Hospital of Fudan University,Shangha i 200040,China |
p519@hospl1 ac.cn |
| 顾湘杰 |
GU Xiang-jie |
复旦大学附属华山医院骨科,上海200040 |
De pa rtment of Orthopaedics,the Huashan Affi lia ted Hospital of Fudan University,Shangha i 200040,China |
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| 王旭 |
WANG Xu |
复旦大学附属华山医院骨科,上海200040 |
De pa rtment of Orthopaedics,the Huashan Affi lia ted Hospital of Fudan University,Shangha i 200040,China |
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| 黄加张 |
HUANG Ji a-zhang |
复旦大学附属华山医院骨科,上海200040 |
De pa rtment of Orthopaedics,the Huashan Affi lia ted Hospital of Fudan University,Shangha i 200040,China |
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| 张纯武 |
ZHANG Chun-wu |
温州医学院附属第一医院骨科 |
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| 朱雄白 |
ZHU Xiong-bai |
温州医学院附属第一医院骨科 |
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| 期刊信息：《中国骨伤》2005年18卷，第9期，第524-526页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨颈髓MRI高信号的存在能否作为脊髓型颈椎病（CSM）手术预后的预测指标。
方法:53例CSM患者,男35例,女18例;病程6个月~7年,平均28.2个月。根据日本矫形外科学会（JOA）制定的脊髓功能评分标准对其手术前后疗效和MRI进行对比,观察脊髓内高信号与临床预后之间的关系。
结果:所有患者均随访1~4年,平均2.5年。术前T2加权存在高信号患者较正常信号患者往往病情重,术后恢复也不满意（P<0.05）;少数单节段高信号患者可恢复良好,但多节段的高信号患者手术效果较差。
结论:颈髓MRI高信号对CSM预后判断有重要意义。 |
| [关键词]:颈椎病 磁共振成像 外科手术 |
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| Correlation between postop erative recovery and high MRI signal intensity of cervical spondylotic myelopathy |
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Abstract:
Objective:To investigate whether high signal intensit y of spinal cord could predict the progn osis of operation for cervical spondylot ic myelopathy (CSM).
Methods:Fifty -three patients with CSM (35 male ,18 female;the courses of disease from 6 months to 7 years,with an average of 28.2 months) w ere examined with MR.The compar ison of outcome and high signal intensit y before and after operation were evaluated according to the J apanes e Orthopaedic Association (JOA) assessme nt criteria.
Results: All the patients were followed up from o ne to four years with an average of 2.5 years.The clinical manifestation of patients with high signal inten sity on the preoperative T2-weighted MRI were worse than that of patients with nor mal sign al,and their postoperati ve recovery wasnot satisfied ( P<0.05).The multisegmental high sign al intensity on T2-weighted image indica ted poor outcome.However,few patients wi th monosegmented high signal intensity h ad good results.
Conclusion:Hi gh signal intensity of spinal cord on MR I is significant for predicting the prognosis of the cervical spondylotic myelopathy. |
| KEYWORDS:Cervical spondylotic Magnetic resonance imaging Surgical procedures ,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 潘哲尔,顾湘杰,王旭,黄加张,张纯武,朱雄白.脊髓型颈椎病MRI信号改变与术后恢复的相关性分析[J].中国骨伤,2005,18(9):524~526 |
| 英文格式: | PAN Zhe-er,GU Xiang-jie,WANG Xu,HUANG Ji a-zhang,ZHANG Chun-wu,ZHU Xiong-bai.Correlation between postop erative recovery and high MRI signal intensity of cervical spondylotic myelopathy[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(9):524~526 |
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