發(fā)布時間：2018-04-15 16:57

  本文選題：全脊柱成像 + X線攝影��； 參考：《南方醫(yī)科大學(xué)學(xué)報》2017年09期

【摘要】：目的評估全脊柱數(shù)字化成像技術(shù)(DR)與MR成像質(zhì)量,分析全脊柱站立位DR及仰臥位MR成像的測量的矢狀面參數(shù)的差異及相關(guān)性。方法搜集2010年11月~2016年3月到我院就診并診斷為退行性脊柱病的61名患者資料,年齡49.9±17.6歲,均行全脊柱站立位DR與仰臥位MR檢查,分析全脊柱拼接的圖像質(zhì)量,在全脊柱DR側(cè)位片、全脊柱MR正中矢狀位圖像測量頸椎前凸角(CL)、胸椎后凸角(TK)、腰椎前凸角(LL)、骶椎傾斜角(SS)、脊柱矢狀位垂直軸(SVA)等參數(shù),并利用配對T檢驗對比DR與MR測量值,并進(jìn)行Pearson相關(guān)性分析。結(jié)果全脊柱DR與MR圖像拼接質(zhì)量優(yōu)良率為100%,全脊柱DR及MR成像上測量CL、TK、LL、SS、SVA值分別為28.37±10.91o、29.98±8.96o、45.61±12.46o、34.38±9.05o、17.20±26.39 mm,及24.34±9.01o、21.22±8.13o、41.45±12.17o、37.45±8.19o、36.51±12.44 mm,DR與MR測量CL、TK、LL、SS、SVA值存在統(tǒng)計學(xué)差異(P值分別為0.000、0.000、0.000、0.001、0.007),相關(guān)系數(shù)r分別為0.69、0.68、0.72、0.51(P值分別為0.000、0.000、0.000、0.000、0.034)。結(jié)論站立位DR與仰臥位MR全脊柱成像圖像質(zhì)量良好,仰臥位MR圖像測量的CL,TK,LL,SS,SVA等脊柱矢狀面平衡參數(shù)與站立位DR相關(guān),但存在明顯區(qū)別,并不能代替站立位DR檢查,須聯(lián)合檢查才能全面評估退行性脊柱病改變。
[Abstract]:Objective to evaluate the digital imaging of the whole spine (DRR) and the quality of Mr imaging, and to analyze the difference and correlation of the sagittal parameters measured in the standing position of the whole spine and the supine position.Methods from November 2010 to March 2016, 61 patients, aged 49.9 鹵17.6 years, who were admitted to our hospital and diagnosed as degenerative spondylosis, were examined in the whole spine standing position Dr and supine position, and the image quality of the whole spine splicing was analyzed.Mr median sagittal images of the whole spine were used to measure the parameters of CLV, TKT, LLN, SSS and SVA in the lateral position of the whole spine, and to compare Dr with Mr measurements by paired T test.Pearson correlation analysis was carried out.緇撴灉鍏ㄨ剨鏌盌R涓嶮R鍥懼儚鎷兼帴璐ㄩ噺浼樿壇鐜囦負(fù)100%,鍏ㄨ剨鏌盌R鍙奙R鎴愬儚涓婃祴閲廋L,TK,LL,SS,SVA鍊煎垎鍒負(fù)28.37鹵10.91o,29.98鹵8.96o,45.61鹵12.46o,34.38鹵9.05o,17.20鹵26.39 mm,鍙，

本文編號：1754984