本文選題：頸椎病 + 神經(jīng)根型　； 參考：《復(fù)旦大學(xué)》2013年碩士論文

【摘要】：[目的]研究多層螺旋CT (Multi-slice Spiral CT, MSCT)和多層面重建(Multiplanar Reconstruction, MPR)對(duì)頸椎椎間孔狹窄病變的價(jià)值,探討神經(jīng)根型頸椎病椎間孔狹窄的發(fā)生特點(diǎn)和原因。 [方法]研究對(duì)象為101例存在頸部神經(jīng)根壓迫癥狀、經(jīng)MSCT薄層掃描和MPR重建證實(shí)的椎間孔狹窄患者,男性50例,女性51例,年齡31-68歲,平均47.5歲。MPR重建方式為矢狀位、垂直于椎間孔走向的斜矢狀位和平行于椎間盤水平的軸位重建,結(jié)合多方位重建圖像綜合分析頸椎間孔狹窄情況及導(dǎo)致狹窄的原因。 [結(jié)果](1)各年齡組中C5-C6椎間孔狹窄最常見(105/263,39.9%)。椎間孔狹窄以單節(jié)段為主(53/101,52.5%),三個(gè)節(jié)段和四個(gè)節(jié)段的椎間孔狹窄主要發(fā)生在50-59歲和60-69歲年齡組。(2)導(dǎo)致椎間孔狹窄的原因以鉤椎關(guān)節(jié)骨質(zhì)增生為主(114/263,43.3%),其次為兩種狹窄因素共同引起(57/263,21.7%)。30-39歲和40-49歲年齡組中椎間孔狹窄主要由單一因素引起(90/105,85.7%),兩種以上因素引起的椎間孔狹窄中有81.9%(68/83)發(fā)生在50-59和60-69歲年齡組。(3)椎間盤突出以中央型突出為主,占69.7%(161/231),后外側(cè)型突出占30.3%(70/231)。導(dǎo)致椎間孔狹窄的椎間盤突出以后外側(cè)型突出為主(63/75,84%)。 [結(jié)論]神經(jīng)根型頸椎病椎間孔狹窄的原因以鉤椎關(guān)節(jié)骨質(zhì)增生為主,其次為兩種因素共同引起。后外側(cè)型椎間盤突出容易引起椎間孔狹窄。椎間孔狹窄節(jié)段數(shù)量及狹窄因素在不同年齡組間發(fā)生情況有差異。MSCT薄層掃描和MPR重建技術(shù)能夠清晰顯示頸椎間孔周圍結(jié)構(gòu)并能準(zhǔn)確評(píng)價(jià)頸椎間孔病變情況。
[Abstract]:[objective] to study the value of multi-slice Spiral CT (MSCT) and multi-slice reconstruction (MPR) in cervical intervertebral foramen stenosis, and to explore the characteristics and causes of intervertebral foramen stenosis in cervical spondylopathy of nerve root type.[methods] A total of 101 patients with cervical nerve root compression, confirmed by MSCT thin slice scanning and MPR reconstruction, were enrolled in this study. 50 males and 51 females, aged 31-68 years, with an average of 47.5 years old, underwent sagittal reconstruction.The oblique sagittal position perpendicular to the intervertebral foramen and the axial reconstruction parallel to the intervertebral disc level were used to analyze the stenosis of the intervertebral foramen and the causes of the stenosis.[results] among all age groups, C5-C6 intervertebral foramen stenosis was the most common.It accounts for 69.7% 161 / 231, and the posterolateral herniation accounts for 30.3% of 70 / 231.The posterolateral herniation of intervertebral foramen, which resulted in stenosis of intervertebral foramen, was mainly 63 / 75 / 84.[conclusion] the main causes of intervertebral foramen stenosis in cervical spondylopathy of nerve root type are osteomatosis of hook vertebrae, followed by two factors.Posterolateral disc herniation is easy to cause intervertebral foramen stenosis.There were differences in the number of segments of intervertebral foramen stenosis and the occurrence of stenosis among different age groups. MSCT thin slice scanning and MPR reconstruction techniques could clearly display the periforaminal structure of cervical vertebrae and accurately evaluate the lesion of cervical interforaminal foramen.
【學(xué)位授予單位】：復(fù)旦大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R681.5;R816.8

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