摘要
目的:探讨椎间盘突出症牵引治疗后MRI影像学疗效评价。方法:选取2017年1月—2018年12月我院行牵引治疗的腰间盘突出症患者47例,治疗前及治疗后均行磁共振成像检查并评估治疗前后的临床疗效和影像表现。结果:本组47例行牵引治疗的患者中,治疗前椎间隙平均高度(11.62±2.31)mm,治疗后椎间隙平均高度(13.56±3.21)mm。治疗前硬膜囊平均横截面积为(1.13±0.52)cm^2,治疗后硬膜囊平均横截面积为(1.23±0.31)cm^2,治疗前后椎间隙平均高度和硬膜囊平均横截面积差异有统计学意义。治疗有效组(n=36)的治疗前后椎间隙平均高度、硬膜囊平均横截面积分别增加(3.98±1.31)mm和(0.75±0.05)cm^2。治疗无效组(n=11)的治疗前后椎间隙平均高度、硬膜囊平均横截面积分别增加(1.98±0.56)mm和(0.34±0.12)cm^2。结论:MRI可作为评价牵引治疗椎间盘突出症疗效的重要影像学检查方式。
Objective To evaluate the efficacy of MRI imaging after traCTion treatment of lumbar disc herniation.Methods From January 2017 to December 2018,47 cases of lumbar disc herniation treated by traCTion in our hospital were seleCTed.Before and after treatment,MRI examination was performed,and the clinical efficacy and imaging manifestations before and after treatment were evaluated.Results Tthe average height of intervertebral space was(11.62±2.31)mm before treatment and(13.56±3.21)mm after treatment.The average cross-seCTional area of dural sac was(1.13±0.52)cm2 before treatment and(1.23±0.31)cm2 after treatment.There were significant differences in the average height of intervertebral space and the average cross-seCTional area of dural sac before and after treatment.In the effeCTive group(n=36),the average height of intervertebral space and the average crossseCTional area of dural sac were increased by(3.98±1.31)mm and(0.75±0.05)cm2,respeCTively.In the ineffeCTive group(n=11),the average height of intervertebral space and the average cross-seCTional area of dural sac were increased by(1.98±0.56)mm and(0.34±0.12)cm2,respeCTively.Conclusion MRI can be used as an important imaging examination method to evaluate the curative effeCT of traCTion in the treatment of lumbar disc herniation.
作者
胡华
宋震宇
高银
Hu Hua;Song Zhenyu;Gao Yin(MRI Room,Affiliated Hospital(T.C.M)of Southwest Medical University,Luzhou,Sichuan 646000,China)
出处
《影像研究与医学应用》
2020年第21期19-20,共2页
Journal of Imaging Research and Medical Applications
基金
西南医科大学—泸州市中医学院基地项目(2017—LH014)
西南医科大学校级课题(2017—ZRQN—044)。
关键词
腰椎间盘突出症
牵引治疗
磁共振成像
Lumbar disc herniation
TraCTion therapy
Magnetic resonance imaging
