【摘要】：目的:探討老年慢性揮鞭性翼狀韌帶損傷的影像學(xué)特點,為因翼狀韌帶損傷造成老年長期頭頸部疼痛提供有效的檢查手段。方法:選取134例長期從事?lián)]鞭性運動或工作并患有長期頭頸部疼痛的老年患者,對患者進(jìn)行常規(guī)全面體檢(包括CT,MR,超聲,實驗室檢驗)和3.0T磁共振質(zhì)子密度加權(quán)像(proton density-weighted imaging,PDWI),根據(jù)常規(guī)全面體檢結(jié)果將患者分為病因明確組(CE組)和病因不明組(UE組),對兩種的PDWI影像學(xué)特點進(jìn)行分析。結(jié)果:磁共振PDWI能夠清晰顯示翼狀韌帶的解剖結(jié)構(gòu)及信號改變特點,斜冠位能夠有效顯示翼狀韌帶揮鞭性損傷的全貌。在CE組,96例患者中7例韌帶損傷征陽性;在UE組38例患者中21例韌帶損傷征陽性。有15.7%的長期頭頸痛患者被證實源于慢性揮鞭性翼狀韌帶損傷。結(jié)論:揮鞭性翼狀韌帶損傷是造成老年長期頭頸部疼痛的重要原因,高分辨率PDWI是評價翼狀韌帶的有效方法,能對因翼狀韌帶揮鞭性損傷造成的慢性頭頸部疼痛作出準(zhǔn)確診斷。
[Abstract]:Objective: to investigate the imaging features of chronic whiplash ligament injury in the elderly and to provide an effective examination method for the long term head and neck pain caused by the injury of the winglike ligament. Methods: a total of 134 elderly patients who had been engaged in whiplash exercise or work for a long time and suffered from head and neck pain for a long time were examined by routine and comprehensive physical examination (including CT,MR, ultrasound). Laboratory tests) and 3.0T magnetic resonance proton density weighted imaging (proton density-weighted imaging,PDWI). According to the results of general physical examination, the patients were divided into two groups: the group with definite etiology (CE group) and the group with unknown etiology (UE group). The imaging features of two kinds of PDWI were analyzed. Results: magnetic resonance (PDWI) could clearly display the anatomical structure and signal characteristics of the winglike ligament, and oblique coronal position could effectively display the full picture of the whiplash injury of the winglike ligament. In CE group, 7 out of 96 patients were positive for ligament injury, and 21 out of 38 patients in UE group were positive for ligament injury. 15.7% of patients with long-term head and neck pain were confirmed to be associated with chronic whiplash ligaments injury. Conclusion: whiplash injury is an important cause of long term head and neck pain in the elderly. High resolution PDWI is an effective method to evaluate the pterygoid ligament and can accurately diagnose the chronic head and neck pain caused by whiplash injury of the winglike ligament.
【作者單位】： 中南大學(xué)湘雅醫(yī)學(xué)院附屬海口醫(yī)院放射科;中南大學(xué)湘雅三醫(yī)院放射科;中南大學(xué)湘雅醫(yī)學(xué)院附屬�？卺t(yī)院骨科;
【基金】：supported by the Key Project of Medical Research of Hainan Province,P.R.China(Qiong-wei-2010-Key Projects 06)
【分類號】：R445.2;R686.5

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