[1]余博飞 徐 杰 郑 武.脊髓型颈椎病MRI T2髓内高信号与临床表现严重程度的关系[J].福建医药杂志,2018,40(06):29-31.
 YU Bofei,XU Jie,ZHENG Wu..Correlation between MRI T2 increased signal intensity and severity of clinical symptoms in patients with cervical spondylotic myelopathy[J].FUJIAN MEDICAL JOURNAL,2018,40(06):29-31.
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脊髓型颈椎病MRI T2髓内高信号与临床表现严重程度的关系()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
40
期数:
2018年06期
页码:
29-31
栏目:
临床研究
出版日期:
2018-11-29

文章信息/Info

Title:
Correlation between MRI T2 increased signal intensity and severity of clinical symptoms in patients with cervical spondylotic myelopathy
文章编号:
1002-2600(2018)06-0029-04
作者:
余博飞 徐 杰1 郑 武
福建医科大学省立临床医学院 福建省立医院骨科(福州 350001)
Author(s):
YU Bofei XU Jie ZHENG Wu.
Department of Orthopedics, Fujian Provincial Hospital,Provincial Clinical College of Fujian Medical University,Fuzhou,Fujian 350001,China
关键词:
脊髓型颈椎病 核磁共振 髓内高信号
Keywords:
cervical spondylotic myelopathy magnetic resonance imaging intramedullary increased signal intensity
分类号:
R653
文献标志码:
B
摘要:
目的 探讨脊髓型颈椎病患者MRI-T2WI信号强度(signal intensity, SI)改变与其临床表现严重程度之间的关系。 方法 选择我院就诊的脊髓型颈椎病患者64例,均行MRI检查,根据MRI-T2WI像上信号强度改变分为3级,即0、1、2级; 采用日本骨科学会评分(JOA)评估患者的脊髓功能状态; 采用颈椎功能障碍指数量表(NDI)评估患者的颈椎失能程度。结果 0级15例,1级34例,2级15例,3组病程差异有统计学意义(P=0.020 5),JOA和NDI评分差异无统计学意义(P>0.05)。 结论 脊髓型颈椎病患者MRI-T2WI像信号强度改变与症状持续时间有关,病程越长,信号强度越强,而单独的MRI-T2WI信号强度分级不能反映患者的临床症状严重程度。
Abstract:
Objective To explore the correlation between intramedullary cord signal intensity(SI)changes on T2-weighted MRI and the severity of clinical symptoms in patients with cervical spondylotic myelopathy(CSM). Methods Sixty-four patients with CSM who visited to the outpatient clinic of our department were enrolled in this study. All patients underwent MRI scan and were classified into three grades: grade 0, grade 1 and grade 2. The Japanese Orthopedics Association(JOA)and the Neck Disability Index(NDI)were used to assess the function of the spinal cord and cervical spine, respectively. Results Of the 64 CSM patients, 15 were classified as grade 0, 34 as grade 1 and 15 as grade 2. There were significant differences of the duration of symptoms among the three groups(P=0.020 5). No significant differences were found both the JOA and NDI scores among the three groups(P>0.05).Conclusion The SI changes of MRI-T2WI images are related to the duration of symptoms in patients with CSM, and the patients with longer symptom durations had high grades of intramedullary cord T2-weighted MRI SI changes. However, MRI T2 image classification alone should not be considered in isolation when assessing severity of clinical symptoms in patients with CSM.

参考文献/References:

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更新日期/Last Update: 2018-11-29