中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2014年
8期
723-727
,共5页
卫波%周红俊%徐建民%刘根林%郑樱%郝春霞%张缨%王一吉%康海琼%逯晓蕾%袁媛
衛波%週紅俊%徐建民%劉根林%鄭櫻%郝春霞%張纓%王一吉%康海瓊%逯曉蕾%袁媛
위파%주홍준%서건민%류근림%정앵%학춘하%장영%왕일길%강해경%록효뢰%원원
脊髓损伤%表观弥散系数%脊髓囊性变%运动功能%磁共振成像
脊髓損傷%錶觀瀰散繫數%脊髓囊性變%運動功能%磁共振成像
척수손상%표관미산계수%척수낭성변%운동공능%자공진성상
spinal cord injuries%apparent diffusion coefficient%spinal cord cystic degeneration%motor function%magnetic resonance im-aging
目的：观察早期颈髓损伤后脊髓囊性变、患者运动功能改善情况与表观弥散系数(ADC)值的关系。方法对18例早期颈髓损伤患者进行磁共振T1WI、T2WI、弥散加权成像(DWI)检查，获得ADC值和ADC图，并通过康复评价获得治疗前后脊髓损伤神经学分类(ASIA)评分。分析ADC值与脊髓囊性变和患者运动功能改善的关系。结果早期颈髓损伤发生囊性变的ADC值低于未发生囊性变的ADC值，两者的分界点在700×10-6 mm2/s。患者年龄与ADC值呈正相关。康复运动功能改善与ADC值无明显相关性。结论早期颈髓损伤发生脊髓囊性变时ADC值多在700×10-6 mm2/s以下。目前为止，还不能通过测定ADC值来判断早期颈髓损伤患者的运动功能恢复情况。
目的：觀察早期頸髓損傷後脊髓囊性變、患者運動功能改善情況與錶觀瀰散繫數(ADC)值的關繫。方法對18例早期頸髓損傷患者進行磁共振T1WI、T2WI、瀰散加權成像(DWI)檢查，穫得ADC值和ADC圖，併通過康複評價穫得治療前後脊髓損傷神經學分類(ASIA)評分。分析ADC值與脊髓囊性變和患者運動功能改善的關繫。結果早期頸髓損傷髮生囊性變的ADC值低于未髮生囊性變的ADC值，兩者的分界點在700×10-6 mm2/s。患者年齡與ADC值呈正相關。康複運動功能改善與ADC值無明顯相關性。結論早期頸髓損傷髮生脊髓囊性變時ADC值多在700×10-6 mm2/s以下。目前為止，還不能通過測定ADC值來判斷早期頸髓損傷患者的運動功能恢複情況。
목적：관찰조기경수손상후척수낭성변、환자운동공능개선정황여표관미산계수(ADC)치적관계。방법대18례조기경수손상환자진행자공진T1WI、T2WI、미산가권성상(DWI)검사，획득ADC치화ADC도，병통과강복평개획득치료전후척수손상신경학분류(ASIA)평분。분석ADC치여척수낭성변화환자운동공능개선적관계。결과조기경수손상발생낭성변적ADC치저우미발생낭성변적ADC치，량자적분계점재700×10-6 mm2/s。환자년령여ADC치정정상관。강복운동공능개선여ADC치무명현상관성。결론조기경수손상발생척수낭성변시ADC치다재700×10-6 mm2/s이하。목전위지，환불능통과측정ADC치래판단조기경수손상환자적운동공능회복정황。
Objective To observe the relationship between spinal cord cystic degeneration, spinal cord movement improvement and ap-parent diffusion coefficient (ADC) values after early cervical spinal cord injury. Methods 18 patients with early cervical spinal cord injury were examined with MRI T1WI, T2WI and diffusion weighted imaging (DWI). Then ADC values and ADC maps were obtained. Their ASIA motor scores were also recorded. The relationship between spinal cord cystic degeneration and spinal cord movement improvement and ADC values was analyzed. Results ADC values were lower in those with cystic degeneration than without cystic degeneration in early cervi-cal spinal cord injury, and the cut-off point was 700×10-6 mm2/s. ADC values were positively correlated with age. The movement improve-ment did not obviously correlate with ADC values. Conclusion ADC values of early cervical spinal cord injury are less than 700×10-6 mm2/s when cystic degeneration happened. Motor function recovery of patients with early cervical spinal cord injury cannot be estimated by mea-suring ADC values.
