摘要
目的终板Modic改变对退行性腰椎管狭窄的相关诊断价值。方法回顾性分析我院128例临床诊断为腰椎管狭窄患者的腰椎磁共振平扫表现。根据是否发生Modic改变,将患者分为实验组和对照组,观察两组的硬膜囊矢径比RDS,比较两组是否有统计学差异,并观察Modic改变的分布及类型。结果在128例患者中,终板Modic改变者56例,发生率约44%;男33例,女23例,男性Modic改变的检出率高于女性(χ2=5.071,P<0.05)。其中Ⅰ型10例,Ⅱ型41例,Ⅲ型5例,Modic改变Ⅱ型发生率最高;男女与Modic改变类型之间存在统计学上的差异(P<0.05);Modic改变组年龄(67.01±14.75)大于非Modic改变组年龄(53.00±14.20)(P<0.001)。Modic改变组RDS值(0.25±0.08)小于非Modic改变组的(0.31±0.09)(P<0.001)。结论终板Modic改变组的椎管狭窄程度更显著,Modic改变可作为腰椎管狭窄发生的预测指标。
Objective The diagnostic value of Modic changes in lumbar degenerative spinal canal stenosis.Methods A retrospective analysis of the lumbar MRI scans of 128 patients with clinical diagnoses of lumbar spinal canal stenosis was performed.Patients were divided into an experimental group and a control group based on whether Modic changes occurred,and the RDS of the epidural space was observed in both groups.Statistical differences between the two groups were compared,and the distribution and type of Modic changes were observed.Results Of the 128 patients,56 had Modic changes in the endplate,with an incidence of about 44%.There were 33 males and 23 females,with a higher detection rate of Modic changes in males(χ2=5.071,P<0.05).There were 10 cases of type I,41 cases of typeⅡ,and 5 cases of typeⅢModic changes,with typeⅡModic changes having the highest incidence.There was a statistically significant difference between males and females in the type of Modic changes(P<0.05).The age of the Modic change group(67.01±14.75)was greater than that of the non-Modic change group(53.00±14.20)(P<0.001).The RDS value of the Modic change group(0.25±0.08)was less than that of the non-Modic change group(0.31±0.09)(P<0.001).Conclusion The degree of spinal canal stenosis in the Modic change group is more significant,and Modic change can be used as a predictor of lumbar spinal canal stenosis.
作者
施巍巍
朱俊琛
朱亚莉
SHI Wei-wei;ZHU Jun-chen;ZHU Ya-li(Department of Medical Imaging,The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,Anhui Province,China;Department of Orthopedics,The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,Anhui Province,China)
出处
《中国CT和MRI杂志》
2025年第8期168-170,共3页
Chinese Journal of CT and MRI
基金
国家中医优势专科建设项目(国中医药医政函[2024]90号)
安徽省科技厅临床医学研究转化专项(202427b10020069)
安徽省华佗中医药研究院科技重大专项(BZKZ2411)。
