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| 磁共振对脊髓型颈椎病前路减压及融合术后评价 | |
| 引用本文： | 贾宁阳 陈雄生 等. 磁共振对脊髓型颈椎病前路减压及融合术后评价[J]. 中国矫形外科杂志, 2001, 8(8): 757-759 |
| 作者姓名： | 贾宁阳 陈雄生 等 |
| 作者单位： | [1]第二军医大学长征医院影像诊断科，上海200003 [2]第二军医大学长征医院骨科 |
| 摘 要： | 目的：研究脊髓型颈椎病前路减压及融合术后的MRI表现与临床意义，评价术后MRI表现及其与术后疗效的关系。方法：回顾性分析58例脊髓型颈椎病患者对照术前与术后MRI图像与临床资料，观察颈椎磁共振影像表现与临床疗效间的关系。结果：前路减压术中植骨MRI信号强度根据手术时间由低逐渐向等信号转变，而纯钛钢板均为无信号影，术前仅表现出骨赘和椎间盘突出者其术后功能改善好，而术后功能不佳者术前MRI特征表现为脊髓T2WI高信号，融合平面与融合相邻椎间层面出现不同程度的脊髓受压。结论：MRI可根据信号变化反映前路植骨融合状况，并通过术后MRI不同表现为评价脊髓型颈椎病前路术后的功能变化提供了影像学基础。 |
| 关 键 词： | 脊髓型颈椎病 前路手术 磁共振 治疗 |
| 文章编号： | 1005-8478(2001)08-0757-03 |
| 修稿时间： | 2001-05-08 |
MRI Evaluation of Anterior Decompression and Fusion in Cervical Spondylotic Myelopathy |
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| JIA Ning yang,CHEN Xiong sheng,SHI Jian gang,et al.. MRI Evaluation of Anterior Decompression and Fusion in Cervical Spondylotic Myelopathy[J]. Orthopedic Journal of China, 2001, 8(8): 757-759 | |
| Authors: | JIA Ning yang CHEN Xiong sheng SHI Jian gang et al. |
| Affiliation: | JIA Ning yang,CHEN Xiong sheng,SHI Jian gang,et al. Department of radiong10y,Changzheng Hospital,Shanghai 200003 |
| Abstract: | Objective:To investigate the relationship between MRI changes and clinical curative effect after anterior decompression and fusion(ADF)of cervical spondylotic myelopathy(CSM).Methods:58 CSM cases were retrospectively studied through MRI and clinical data changes before and after operation.Result:Bone fusion showed different MRI signal relate to the period after surgery,and titanium armor plate displayed no signal;only the osteal stenosis findings before ADF revealed better recovery,those patients with the occurrence of compressed spinal cord both in the place of fixation and related slices shows worse effect,T2WI hyper intensity signal of spinal cord before ADF suggests failed outcome.Conclusion:MRI,based on signal changes,can be helpful to reflect the conditions of graft bone fusion and lay radiological foundation to evaluate ADF of CSM. |
| Keywords: | CSM Anterior decompression and fusion MRI |
| 本文献已被 CNKI 维普 等数据库收录！ | |