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MRI在脊髓型颈椎病论断中的表现及其临床意义
引用本文:王拯,黑龙,丁惠强.MRI在脊髓型颈椎病论断中的表现及其临床意义[J].宁夏医学杂志,2009,31(2):100-101.
作者姓名:王拯  黑龙  丁惠强
作者单位:1. 宁夏医科大学,宁夏,银川,750004
2. 宁夏医科大学附属医院,宁夏,银川,750004
摘    要:目的探讨MRI在脊髓型颈椎病中的表现及临床意义。方法回顾性分析45例资料齐全并行经前路减压植骨融合内固定的脊髓型颈椎病患者,依术前症状及MRI颈脊髓受压程度分为轻、中、重度三组进行分析。结果按JOA评分所有病例术后临床症状均获得不同程度的改善,症状改善率与术前MRI显示颈脊髓受压程度的相关性采用Spearman秩相关进行分析构成正相关关系(P〈0.05),即术前颈脊髓压迫程度越重,术后颈脊髓形态恢复越不明显,症状改善差;术前颈脊髓压迫程度越轻,术后颈脊髓形态恢复越明显,症状改善好。手术前后JOA评分经t检验差异有统计学意义(P〈0.05)。结论MRI对脊髓型颈椎病术前诊断及术后疗效预测具有重要的临床意义。

关 键 词:脊髓型颈椎病  磁共振成像  前路减压

Clinical significance of the MRI changes in patients with cervical spondylotic myelopathy
WANG Zheng,et al..Clinical significance of the MRI changes in patients with cervical spondylotic myelopathy[J].Ningxia Medical Journal,2009,31(2):100-101.
Authors:WANG Zheng  
Institution:The Affiliated Hospital of Ningxia Medical University;Yinchuan 750004;China
Abstract:Objective To discuss clinical significance of the MRI changes in patients with cervical spodylotic myelopathy.Methods 45 patients with cervical spodylotic myelopathy were retrospectively analyzed by using anterior decompression and bone graft fusion, according to preoperative clinical symptoms and compressive degree of cervical spinal cord divided into slight, medium and serious three groups.Results The postoperative clinical symptoms of all patients were improved at different degrees, there was positive co...
Keywords:Cervical spondylotic myelopathy  MRI  Anterior decompression  
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