CAJ | 학술논문

背景:磁共振成像已被公认为是诊断颈椎间盘突出症的重要手段.目的:探讨创伤性颈椎间盘突出症的临床表现与MRI影像学变化的相互关系.设计:回顾性分析.单位:解放军第三军医大学新桥医院骨科.对象:选择1982-06/2002-06第三军医大学新桥医院骨科收治外伤性颈椎间盘突出症患者123例.临床表现为4种不同类型:①呈四肢对称性不全瘫,肌力一二级58例,其中14例呈四肢运动性丧失而触觉存在或损害轻微.②中央管综合症34例.表现为双上肢肌力显著减退或丧失,肌力0～2级.③半脊髓综合征27例.表现为一侧上下肢肌力及触觉明显减退.④表现为一侧上肢剧痛,运动损害轻微,对侧下肢痛觉减退,但肌力良好4例.方法:对创伤性颈椎间盘突出症患者123例进行MRI检查.主要观察指标:123例患者的临床表现与MRI影像学结果的关系.结果:123例患者临床表现和MRI影像学资料进入结果分析.①MRI分为横型突出58例,临床表现呈四肢对称性不全瘫痪.②MRI呈中央型突出34例,临床表现呈中央管综合征,双上肢肌力显著减退或丧失.③MRI呈旁侧型27例,临床表现呈不典型性半脊髓综合征.④MRI呈边缘型4例,临床表现为一侧神经根性痛,对侧痛温觉障碍.结论:MRI分型说明了确定的椎间盘突出的节段、位置及形状,其产生的4种不同的临床表现说明了该解剖位置支配相应神经所产生功能障碍的一致性.
배경:자공진성상이피공인위시진단경추간반돌출증적중요수단.목적:탐토창상성경추간반돌출증적림상표현여MRI영상학변화적상호관계.설계:회고성분석.단위:해방군제삼군의대학신교의원골과.대상:선택1982-06/2002-06제삼군의대학신교의원골과수치외상성경추간반돌출증환자123례.림상표현위4충불동류형:①정사지대칭성불전탄,기력일이급58례,기중14례정사지운동성상실이촉각존재혹손해경미.②중앙관종합증34례.표현위쌍상지기력현저감퇴혹상실,기력0～2급.③반척수종합정27례.표현위일측상하지기력급촉각명현감퇴.④표현위일측상지극통,운동손해경미,대측하지통각감퇴,단기력량호4례.방법:대창상성경추간반돌출증환자123례진행MRI검사.주요관찰지표:123례환자적림상표현여MRI영상학결과적관계.결과:123례환자림상표현화MRI영상학자료진입결과분석.①MRI분위횡형돌출58례,림상표현정사지대칭성불전탄탄.②MRI정중앙형돌출34례,림상표현정중앙관종합정,쌍상지기력현저감퇴혹상실.③MRI정방측형27례,림상표현정불전형성반척수종합정.④MRI정변연형4례,림상표현위일측신경근성통,대측통온각장애.결론:MRI분형설명료학정적추간반돌출적절단、위치급형상,기산생적4충불동적림상표현설명료해해부위치지배상응신경소산생공능장애적일치성.
BACKGROUND: MRI is generally considered as an important means to diagnose cervical disc herniation.OBJECTIVE: To explore the correlation between clinical manifestations of traumatic cervical disc herniation and MRI changes.DESIGN: A retrospective study.SETTING: Department of Orthopedics, Xinqiao Hospital of Third Military Medical University of Chinese PLA.PARTICIPANTS: We selected 123 patients with traumatic cervical disc herniation who came to the Department of Orthopedics, Xinqiao Hospital of Third Military Medical University of Chinese PLA, for treatment between June 1982 and June 2002. Their clinical manifestations fell into four types:of grade Ⅰ or Ⅱ, 14 of which lost motility with normal or slightly impaired icantly decreased or lost motility of the bilateral upper limbs with myotility of nificantly decreased motility and thignesthesia of the unilateral upper and impaired motility, decreased pain sensation of the lower limb on the opposite side, but with good myotility.METHODS: MRI examination was carried out in 123 cases of traumatic cervical disc herniation.MAIN OUTCOME MEASURES: The correlation between the clinical manifestations of 123 cases and MRI results.RESULTS: The clinical manifestations and MRI information of 123 cases verse-type herniation, clinically manifested as symmetric incomplete as central canal syndrome and significantly decreased or lost motility of the ripheral-type herniation, manifested as nerve root pain of unilateral side as well as pain sensation and thermesthesia on the opposite side.CONCLUSION: MRI typing suggests the segment, position and shape of disc herniation specified, and the 4 types of clinical manifestations indicate the consistency of anatomic location with the corresponding neural disorder.