| 椎动脉磁共振血管成像对手法诊治椎动脉型颈椎病的研究 |
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Received:April 01, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张明才 |
ZHANG Ming-cai |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
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| 石印玉 |
SHI Yin-yu |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
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| 陈东煜 |
CHEN Dong-yu |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
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| 黄仕荣 |
HUANG Shi-rong |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
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| 陈博 |
CHEN Bo |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
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| 王翔 |
WANG Xiang |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
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| 王辉昊 |
WANG Hui-hao |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
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| 张开勇 |
ZHANG Kai-yong |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
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| 郭凯 |
GUO Kai |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
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| 詹红生 |
ZHAN Hong-sheng |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 200021 |
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China |
zhanhongsheng2010@163.com |
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| 期刊信息：《中国骨伤》2013年26卷，第11期，第908-912页 |
| DOI：10.3969/j.issn.1003-0034.2013.11.007 |
| 基金项目:国家自然基金项目(编号:81001528,81073114);上海市卫生局青年科研项目(编号:2010Y131);上海高校青年教师培养资助计划(编号:szy11047) |
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目的：探讨椎动脉磁共振血管成像（MRA）在椎动脉型颈椎病临床手法诊治中的重要作用，为椎动脉型颈椎病的临床诊治提供思路。
方法：2007年5月至2010年12月，研究符合椎动脉型颈椎病诊断标准的患者（观察组，53例）和正常人（对照组，30例）的颈椎MRA中椎动脉走行及管径情况，其中观察组男19例，女34例；年龄26～72岁，平均（52.51±11.29）岁；对照组男10例，女20例；年龄25～70岁，平均（48.11±12.21）岁。比较两组受试者椎动脉走行及管径异常发生率的差异性，并结合X线、MRI、MRA资料对观察组的椎动脉走行及管径异常改变的因素及特点进行分析。
结果：与对照组相比，观察组椎动脉走行及管径异常的发生率达81.13%（43/53），两者比较差异有统计学意义（P=0.000）；且椎动脉走行及管径异常改变形式较复杂和多样化，其中以局部迂曲狭窄最为常见，累计占47.18%（25/53）；局部迂曲狭窄因素以椎间关节错缝为主，占43.41%（23/53）.
结论：椎动脉型颈椎病患者容易发生椎动脉走行及管径异常改变，而MRA可有效诊断椎动脉的异常改变。 |
| [关键词]:椎动脉 颈椎病 磁共振血管造影术 手法,骨科 |
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| Clinical significance of vertebral artery MRA to vertebral artery type of cervical spondylosis’ diagnosis and treatment |
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Abstract:
Objective: To study clinical significance of vertebral artery magnetic resonance angiography(MRA) to vertebral artery type of cervical spondylosis' diagnosis and treatment.
Methods: There were two groups in the study,which were observation group and control group. There were 53 patients in observation group,including 19 males and 34 females,with a mean age of (52.51±11.29) years. There were 30 subjects in control group,including 10 males and 20 females,with a mean age of (48.11±12.21) years. Based on the vertebral artery MRA picture,the course and caliber of vertebral artery were compared between two groups.
Results: The abnormal incidence of course and caliber of vertebral artery in observation group was higher than that of control group,which had statistic difference(P=0.000). Furthermore,the patterns of abnormal course and caliber of vertebral artery in observation group were complicated and diverse,but the regional circuity and stegnosis was the most common pattern,about 47.18%(25/53). The cause of circuity and stegnosis was vertebra Gu-Cuofeng,about 43.41%(23/53).
Conclusion: The vertebral artery MRA provides a guidance for the diagnosis of abnormal course and caliber of vertebral artery in vertebral artery cervical spondylosis. |
| KEYWORDS:Vertebral artery Cervical spondylosis Magnetic resonance angiography Manipulation,orthopedic |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张明才,石印玉,陈东煜,黄仕荣,陈博,王翔,王辉昊,张开勇,郭凯,詹红生.椎动脉磁共振血管成像对手法诊治椎动脉型颈椎病的研究[J].中国骨伤,2013,26(11):908~912 |
| 英文格式: | ZHANG Ming-cai,SHI Yin-yu,CHEN Dong-yu,HUANG Shi-rong,CHEN Bo,WANG Xiang,WANG Hui-hao,ZHANG Kai-yong,GUO Kai,ZHAN Hong-sheng.Clinical significance of vertebral artery MRA to vertebral artery type of cervical spondylosis’ diagnosis and treatment[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(11):908~912 |
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