【摘要】 目的　探讨CT、MRI、MRA在椎动脉型颈椎病诊断、手术治疗中的价值。　方法　本组 3 2例患者均行CT、MRI、MRA检查。据不同病因及椎动脉受累的影像学特点选用了 7种手术方式治疗 ,其中横突孔切开减压术 2例 ,钩椎关节切除减压术 2例 ,钩椎关节切除及横突孔切开术 3例 ,椎间植骨融合术 2例 ,钩椎关节切除及椎间孔扩大术 8例 ,前路减压及钩椎关节切除、植骨融合术 12例 ,横突孔切开、钩椎关节切除、颈椎椎体次全切除术 3例。　结果　CT、MRI、MRA从不同角度直接、间接反映椎动脉受累情况。全部手术经过顺利 ,疗效满意 ,总优良率为 93 .8%。　结论　全面分析CT、MRI、MRA影像学特点可为该病的诊断、手术方法的最佳选择提供客观依据更多还原

【Abstract】 Objective To evaluate the usefulness of CT?MRI and MRA in the diagnosis and operation of cervical spondylosis involving the vertebral artery. Methods 32 patients were studied with CT?MRI and MRA. Seven operative ways were used depending on different clinical appearance and various imaging findings. Transverse foramen open decompression was done in 2 patients, removal decompression in 2 cases, resection and transverse foramen open 3 cases, vertebral fusion with strut bone graft in 2 cases, exeision and intervertebral foramentotomy in 8 cases, anterior decompression resection and fusion with bone graft in 10 cases and incision of transverse foramen with resection and subtotal vertebrectomy in 3 cases. Results It was useful of conjunctive CT and MR imaging in the evaluation of the suffered vertebral artery in the cases. The operations were all successful and led to excellent follow up results. Conclusions Conjunctive CT and MR imaging allows a more complete evaluation of cervical spondylosis involving the vertebral artery and provides much more informations for the best choice of operatiive methods.更多还原