CAJ | 학술논문

目的：探讨不同中医分型颈椎病患者电子计算机 X 射线断层扫描（CT）及磁共振成像（MRI）影像学表现及临床意义。方法：选取147例颈椎病患者为研究对象，对其进行中医辨证分型，所有病例均行 CT 及 MRI 检查，统计分析不同分型颈椎病的 CT、MRI表现特征。结果：风寒湿型患者的 CT 表现以曲度发生变化、韧带出现钙化为主；气滞血瘀型以椎间孔、椎间隙变异为主；痰湿阻络型以钩椎增生为主；肝肾不足型以椎间盘突出为主；气血亏虚型的 CT 影像学特征不明显；MRI 表现，气血亏虚型以脊柱滑脱为主，其余四种分型表现不明显。结论：不同中医分型颈椎病患者 CT 及 MRI 影像学表现具有较大差异，将 CT 及 MRI 影像诊断技术用于颈椎病的中医辨证分型有助于提高诊断水平，对于指导中医中药治疗颈椎病有重要意义。
목적：탐토불동중의분형경추병환자전자계산궤 X 사선단층소묘（CT）급자공진성상（MRI）영상학표현급림상의의。방법：선취147례경추병환자위연구대상，대기진행중의변증분형，소유병례균행 CT 급 MRI 검사，통계분석불동분형경추병적 CT、MRI표현특정。결과：풍한습형환자적 CT 표현이곡도발생변화、인대출현개화위주；기체혈어형이추간공、추간극변이위주；담습조락형이구추증생위주；간신불족형이추간반돌출위주；기혈우허형적 CT 영상학특정불명현；MRI 표현，기혈우허형이척주활탈위주，기여사충분형표현불명현。결론：불동중의분형경추병환자 CT 급 MRI 영상학표현구유교대차이，장 CT 급 MRI 영상진단기술용우경추병적중의변증분형유조우제고진단수평，대우지도중의중약치료경추병유중요의의。
Objective To discuss the different types of TCMin patients with cervical spondylosis in the X -ray Computer Tomo-graphy (CT),Magnetic Resonance Imaging (MRI)imaging findings and clinical significance.Methods Select 147 patients with cer-vical spondylosis as the research objects,they were undergone TCMsyndrome differentiation type.All patients were checked by CT and MRI,and the images were read by two radiology doctors of high quality,then we statistical analyzed different type of patients with cer-vical spondylosis in the CT,MRI characteristics.Results CT findings in patients with alpine -type had curvature changes,and it mainly had calcification on ligament;blood stasis -type mainly had variations in the intervertebral foramen and intervertebral space;phlegm blocking collaterals -type mainly had hooking vertebral hyperplasia;liver and kidney insufficiency -type mainly had interverte-bral disc;CT imaging features of blood deficiency -type was not obvious.MRI findings of blood deficiency -type mainly had spondylo-listhesis;other four types of MRI were not obvious.Different types of TCMin the CT,MRI imaging findings had large differences,and they all had statistical significant (P <0.05).Conclusion Different types of TCMin patients with cervical spondylosis in the CT,MRI imaging findings have big differences,applying the CT and MRI diagnostic imaging techniques into TCMsyndrome differentiation type of cervical spondylosis that can help to improve the level of diagnosis.It has great significance on guiding Chinese medicine treatment in cervical disease.