海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
10期
1457-1459
,共3页
曾莎莎%郭建东%黎江芽%徐嵩
曾莎莎%郭建東%黎江芽%徐嵩
증사사%곽건동%려강아%서숭
寰枕后膜挛缩征%寰枕间隙%多层螺旋CT
寰枕後膜攣縮徵%寰枕間隙%多層螺鏇CT
환침후막련축정%환침간극%다층라선CT
Atlanto-occipital fascia spastic syndrome%Atlantooccipital gap%Multislice spiral CT
目的：探讨MSCT在寰枕后膜挛缩症诊断价值，为临床诊疗提供参考。方法选取临床诊断为寰枕后膜挛缩症的患者60例（病例组）及正常人100例，使用GE Ligtspeed 16层螺旋CT行寰枕结合部扫描，将原始数据传至MSCT工作站进行VR、MPR等后处理，然后在VR、MPR等图像上观察、测量寰椎后弓与枕骨之间的最短骨性距离H、寰椎左侧椎动脉沟压迹最低点与枕骨之间的最短骨性距离H1、寰椎右侧椎动脉沟压迹最低点与枕骨之间的最短骨性距离H2。结果正常人H、H1、H2的均值与标准差分别为(8.43±1.89) mm、(10.59±1.54) mm、(10.39±1.27) mm，其中H、H1、H2的95%参考值范围分别为≥4.73 mm、≥7.57 mm、≥7.90 mm；病例组患者H、H1、H2的均值与标准差分别为(4.54±1.17) mm、(8.16±1.16) mm、(8.01±1.36) mm。病例组寰枕间隙宽度（H、H1、H2）均小于正常组，差异均有统计学意义(P<0.05)。结论 H、H1、H2三者结合能较全面及准确的反映寰枕间隙的宽度， MSCT对于寰枕后膜挛缩征的诊疗具有重要价值。
目的：探討MSCT在寰枕後膜攣縮癥診斷價值，為臨床診療提供參攷。方法選取臨床診斷為寰枕後膜攣縮癥的患者60例（病例組）及正常人100例，使用GE Ligtspeed 16層螺鏇CT行寰枕結閤部掃描，將原始數據傳至MSCT工作站進行VR、MPR等後處理，然後在VR、MPR等圖像上觀察、測量寰椎後弓與枕骨之間的最短骨性距離H、寰椎左側椎動脈溝壓跡最低點與枕骨之間的最短骨性距離H1、寰椎右側椎動脈溝壓跡最低點與枕骨之間的最短骨性距離H2。結果正常人H、H1、H2的均值與標準差分彆為(8.43±1.89) mm、(10.59±1.54) mm、(10.39±1.27) mm，其中H、H1、H2的95%參攷值範圍分彆為≥4.73 mm、≥7.57 mm、≥7.90 mm；病例組患者H、H1、H2的均值與標準差分彆為(4.54±1.17) mm、(8.16±1.16) mm、(8.01±1.36) mm。病例組寰枕間隙寬度（H、H1、H2）均小于正常組，差異均有統計學意義(P<0.05)。結論 H、H1、H2三者結閤能較全麵及準確的反映寰枕間隙的寬度， MSCT對于寰枕後膜攣縮徵的診療具有重要價值。
목적：탐토MSCT재환침후막련축증진단개치，위림상진료제공삼고。방법선취림상진단위환침후막련축증적환자60례（병례조）급정상인100례，사용GE Ligtspeed 16층라선CT행환침결합부소묘，장원시수거전지MSCT공작참진행VR、MPR등후처리，연후재VR、MPR등도상상관찰、측량환추후궁여침골지간적최단골성거리H、환추좌측추동맥구압적최저점여침골지간적최단골성거리H1、환추우측추동맥구압적최저점여침골지간적최단골성거리H2。결과정상인H、H1、H2적균치여표준차분별위(8.43±1.89) mm、(10.59±1.54) mm、(10.39±1.27) mm，기중H、H1、H2적95%삼고치범위분별위≥4.73 mm、≥7.57 mm、≥7.90 mm；병례조환자H、H1、H2적균치여표준차분별위(4.54±1.17) mm、(8.16±1.16) mm、(8.01±1.36) mm。병례조환침간극관도（H、H1、H2）균소우정상조，차이균유통계학의의(P<0.05)。결론 H、H1、H2삼자결합능교전면급준학적반영환침간극적관도， MSCT대우환침후막련축정적진료구유중요개치。
Objective To assess the value of MSCT in the diagnosis of Atlas Occipital Fascia Spastic Syn-drome, and provide parameters for clinical diagnosis and treatment. Methods 60 patients with clinical diagnosis of atlanto-occipital fascia spastic syndrome were selected and compared with 100 control subjects, GE Ligtspeed 16-slice spiral CT was used for atlanto-occipital junction scanning, then raw data were sent to the MSCT workstation, and then VR, MPR and other post-processing operations were performed. Data H (the shortest distance between posterior arch of the atlas and the occipital bone), H1 (the shortest distance between the lowest point of vertebral artery groove pres-sure trace on the left posterior arch of the atlas and the occipital bone), and H2 (the shortest distance between the low-est point of vertebral artery groove pressure trace on the right posterior arch of the atlas and the occipital bone) were measured in these post-processing images. Results The means and standard deviations of H, H1 and H2 in control group were (8.43 ± 1.89) mm, (10.59 ± 1.54) mm and (10.39 ± 1.27) mm, respectively. 95%of reference range of H, H1 and H2 were≥4.73 mm,≥7.57 mm, and≥7.90 mm, respectively, while the means and standard deviations of H, H1 and H2 in the group of patients were (4.54±1.17) mm, (8.16±1.16) mm, and (8.01±1.36) mm, respectively. Width of at-lanto-occipital gap (H, H1, H2) in the patients groups was narrower than that in control group, and the difference was statistically significant(P<0.05). Conclusion The combination data of H, H1 and H2 would reflect the atlanto-occipi-tal gap width more comprehensively and accurately. MSCT had an important value for the diagnosis of atlanto-occipi-tal fascia spastic syndrome.
