摘要
目的探讨磁共振成像(MRI)-弥散加权成像(DWI)诊断腰椎间盘突出症(LDH)的价值。方法87例LDH患者根据空腹血糖、甘油三酯、胆固醇等水平分为正常组(n=52)、高血糖组(n=12)、高脂血症组(n=23),三组均接受MRI-DWI检查,分析其评估患者病情的价值。结果LDH患者的ADC值随Pm分级的升高而降低(P<0.05)。Speraman相关性分析显示,ADC值与Pm分级呈负相关(P<0.05)。正常组的各节段ADC值均高于高血糖组、高脂血症组(P<0.05)。多元线性回归分析显示,年龄、血糖及甘油三酯与ADC值呈负相关(P<0.05)。结论MRI-DWI利用定量指标ADC值可准确评估LDH患者的椎间盘退变情况,可用于LDH病情评估。
Objective To explore the value of magnetic resonance imaging(MRI)-diffusion weighted imaging(DWI)in the diagnosis of lumbar disc herniation(LDH).Methods According to the levels of fasting blood glucose,triglyceride and cholesterol,87 patients with LDH were divided into normal group(n=52),hyperglycemia group(n=12)and hyperlipidemia group(n=23).All three groups received MRI-DWI examination,and the value of MRI-DWI in evaluating patients'disease condition was analyzed.Results The ADC value of LDH patients decreased with the increase of Pm grade(P<0.05).Speraman correlation analysis showed that ADC value was negatively correlated with Pm grade(P<0.05).The ADC values of each segment in the normal group were higher than those in the hyperglycemia group and the hyperlipidemia group(P<0.05).Multiple linear regression analysis showed that age,blood glucose and triglyceride were negatively correlated with ADC value(P<0.05).Conclusions MRI-DWI can accurately evaluate the intervertebral disc degeneration of LDH patients by using the quantitative index ADC value,which can be used to evaluate the disease condition of LDH.
作者
张宝鑫
王明坤
刘立卷
ZHANG Baoxin;WANG Minghun;LIU Lijuan(Department of Radiology,Qinyang Union Eye Hospital,Jiaozuo 454550,China;Medical Imaging Center,Qinyang People's Hospital,Jiaozuo 454550,China)
出处
《临床医学工程》
2023年第8期1051-1052,共2页
Clinical Medicine & Engineering
关键词
磁共振成像
弥散加权成像
腰椎间盘突出症
Magnetic resonance imaging
Diffusion weighted imaging
Lumbar disc herniation
