【摘要】 目的:回顾性分析颈椎病的MRI表现,探讨其在诊断和分型中的应用价值。方法:2014年3月—2014年10月间住院确诊为颈椎病且有完整临床和MR I资料的396例患者纳入研究,按年龄分为中老年组(>35岁)和青年组(≤35岁),比较两组间MRI表现的差异,并比较MRI分型与临床分型的一致性。结果:颈椎病的MRI表现主要有颈椎曲度改变、颈椎序列不连续、椎间隙狭窄、椎体骨质增生、小关节异常、椎间盘突出或膨出、椎管狭窄、横突孔狭窄、侧隐窝狭窄、后纵韧带及黄韧带增厚、神经根受压、脊髓水肿或变性、终板炎、纤维外环断裂等诸多征象,中老年组与青年组颈椎病病患者上述表现发生的概率不同。MRI分型中神经根型197例、椎动脉型58例、脊髓型59例和交感型12例与临床分型一致,总符合率为82.3%(P<0.001,r=0.794,Kappa=0.711)。结论:颈椎病的MRI诊断与分型与临床具有较高的一致性,能为临床医生处理提供帮助。更多还原

【Abstract】 Purpose:To evaluate the MRI value in diagnosing and classifying of cervical spondylosis.Methods:The patients diagnosed with cervical spondylosis in our hospital during March 2014- October2014 hospitalized,and with complete clinical and MRI imaging data,were divided into two groups,the elderly group(> 35 years) and youth group(≤35 years).The differences of the MRI manifestations between the two groups were analyzed;The MRI classifying was performed for each patient based on the image data and clinical manifestations and was compared with clinical type.Results:The MRI manifestations of cervical spondylosis included the change of cervical curve,the discontinuous of cervical sequence line,narrowing of the space between cervical vertebrae,hyperosteogeny of the vertebral bone,abnormalities of the small joint,protrusion or bulging of the vertebral disc,stenosis of the spinal canal,stenosis of the transverse foramen,stenosis of the lateral crypt,thickening of the posterior longitudinal ligament or the yellow ligament,compression of the nerve roots,edema or degeneration of the spinal cord,the endplate inflammation,rupture of the outer annulus fibrosis,and other many manifestations.The occurrence rate of these manifestations in the middle-elderly group was different from the youth group.Of 396 cases patients,58 cases CSA,59 cases CSM,12 cases SCS were consistent with the clinical typing,overall compliance rate was 82.3%.(P = 0.000,r = 0.794,Kappa coefficient was 0.711).Conclusion:MRI has a high value in cervical spondylosis diagnosis and classifying,and can provide references for the clinicians to choose treatment methods.更多还原