CAJ | 학술논문

目的：通过 MRI 检查成人脊髓圆锥末端位置的变化,为腰麻穿刺提供信息。方法120例病人术前行腰部 MRI扫描：正中矢状面测量脊髓圆锥末端的位置,并按脊柱单元分区。结果120例脊髓圆锥末端位置与年龄、性别、身高、体重和体重指数无明显相关；范围在 T12-L2-3水平,主要集中在 T12-L1(15%)、 L1 U (21.7%)、 L1 M (23.3%)和 L1 L (18.3%)之间,8例位于 L1-2水平以下,其中1例女性在 L2-3水平。结论 MRI 检查能够准确判断成人脊髓圆锥末端位置,为腰麻提供信息,避免穿刺时损伤脊髓。
목적：통과 MRI 검사성인척수원추말단위치적변화,위요마천자제공신식。방법120례병인술전행요부 MRI소묘：정중시상면측량척수원추말단적위치,병안척주단원분구。결과120례척수원추말단위치여년령、성별、신고、체중화체중지수무명현상관；범위재 T12-L2-3수평,주요집중재 T12-L1(15%)、 L1 U (21.7%)、 L1 M (23.3%)화 L1 L (18.3%)지간,8례위우 L1-2수평이하,기중1례녀성재 L2-3수평。결론 MRI 검사능구준학판단성인척수원추말단위치,위요마제공신식,피면천자시손상척수。
Objective To examine the changes of the position of adult spinal cord conus end by MRI, and provide information for spinal anesthesia puncture. Method 120 patients were given lumbar MRI scan before operation. The position of adult spinal cord co-nus end was measured at median sagittal plane and divided into partition according to spine unit. Result The position of spinal cord conus end of the 120 patients was not associated with age, sex, height, weight and body mass index, in the range of T12-L2-3 , mainly in T12-L1 (15% ), L1 U (21. 7% ), between L1 M (23. 3 % ) and L1 L (18. 3% ), with 8 cases below L1-2 , in which one case of women was within L2-3 level. Conclusion MRI examination can accurately determine the adult spinal cord conus end position, pro-vide information for spinal anesthesia, and avoid puncture damage to spinal cord.