青少年型颈椎间盘突出的MRI影像学分析及临床特点
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摘要
目的:探讨青少年型颈椎间盘突出的MRI影像学表现及临床特点,并讨论其与中老年性颈椎间盘突出的区别。方法:收治25岁以下颈椎间盘突出患者60例,回顾性分析其影像学异常表现及临床特点,并与中老年性颈椎间盘突出影像学征象及临床特点进行比较。结果:MRI能发现早期椎间盘变性引起的异常信号改变,青少年型颈椎间盘突出的MRI影像学特征为颈椎生理曲度异常、脊髓受压、椎间盘信号改变、神经根受压等非骨软骨性改变为主要特征。结论:青少年型颈椎间盘突出主要表现为颈椎生理曲度异常、脊髓及神经根受压为重要特征的非骨软骨性病变,与中老年性颈椎间盘突出主要表现为骨质增生,椎间盘变性椎间隙狭窄为主的骨软骨性改变有明显区别。
Objective:To explore the MRI imaging findings and clinical characteristics of adolescent cervical disc herniation,and to discussed the difference between middle aged and elderly patients with cervical disc herniation.Methods:60 patients with cervical disc herniation under the age of 25 were selected,the imaging features and clinical features were retrospectively analyzed,and we compared them with the imaging findings and clinical characteristics of middle aged and elderly patients with cervical disc herniation.Results:MRI can detect abnormal signal changes caused by early intervertebral disc degeneration,in adolescent cervical disc herniation,MRI features were mainly abnormal cervical curvature,spinal cord compression,intervertebral disc signal changes,nerve root compression and other non-bone and cartilage changes.Conclusion:In adolescent cervical disc herniation,MRI features were mainly abnormal cervical curvature,spinal cord compression and nerve root compression and other non-bone and cartilage changes,in the middle aged and elderly patients with cervical disc herniation,the main manifestations were osteoproliferation,degeneration of the intervertebral disc,and stenosis of intervertebral space and other bone and cartilage changes,there were obvious differences.
Objective:To explore the MRI imaging findings and clinical characteristics of adolescent cervical disc herniation,and to discussed the difference between middle aged and elderly patients with cervical disc herniation.Methods:60 patients with cervical disc herniation under the age of 25 were selected,the imaging features and clinical features were retrospectively analyzed,and we compared them with the imaging findings and clinical characteristics of middle aged and elderly patients with cervical disc herniation.Results:MRI can detect abnormal signal changes caused by early intervertebral disc degeneration,in adolescent cervical disc herniation,MRI features were mainly abnormal cervical curvature,spinal cord compression,intervertebral disc signal changes,nerve root compression and other non-bone and cartilage changes.Conclusion:In adolescent cervical disc herniation,MRI features were mainly abnormal cervical curvature,spinal cord compression and nerve root compression and other non-bone and cartilage changes,in the middle aged and elderly patients with cervical disc herniation,the main manifestations were osteoproliferation,degeneration of the intervertebral disc,and stenosis of intervertebral space and other bone and cartilage changes,there were obvious differences.
引文
[1]宋樟伟,葛文,许崇永,等.中青年颈椎间盘突出症的CT对照分析[J].医学研究杂志,2011,40(7):113-115.
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[10]覃永平.青少年颈椎病影像特征及检查方法评价[J].中国临床新医学,2011,3(4):249-251.
[11]李长海,谢贵四,田涛,等.腰椎间盘突出症临床症状体征严重度与髓核突出方式关系探讨[J].安徽中医学院学报,2009,28(1):16-18.
[12]刘奕锋,王伯胤.X线平片检查在颈椎病诊断中的意义[J].中医正骨,2007,19(3):17-19.
[13]陈雄生,贾连顺,袁文,等.脊髓型颈椎病自然史规律研究[J].中国矫形外科杂志,2002,10(13):1301-1304.
[2]赵洪增,杨瑞民,关文华,等.青年人腰椎间盘突出症的影像诊断及介入治疗[J].颈腰痛杂志,2003,24(4):223-224.
[3]胡良臣,韩笃桃.青年型颈椎病探析[J].中国临床医学研究杂志,2003,8(10):533-534.
[4]黄永生,秦晓东,胡延春.青年型颈椎病的影像诊断价值[J].齐齐哈尔医学院报,2011,32(5):745.
[5]柴喜平,朱换平,李盛华.青少年腰椎间盘突出症的临床研究进展[J].甘肃中医,2011,4(24):79-80.
[6]贾占涛,昊庆和,陈少英,等.青少年颈椎病变的调查与研究[J].中国医药导刊,2008,10(1):143-144.
[7]程鹏,许多富.35岁以下青年型颈椎病的影像分析[J].内蒙古中医药,2012,5(12):77-78.
[8]王东升.121例青年颈椎病CT影像及临床诊断[J].医学杂志社,2010,7(4):123-124.
[9]姜宏,施杞,王以进.颈椎稳定性的生物力学实验研究[J].中国脊柱脊髓杂志,1999,9(5):257-259.
[10]覃永平.青少年颈椎病影像特征及检查方法评价[J].中国临床新医学,2011,3(4):249-251.
[11]李长海,谢贵四,田涛,等.腰椎间盘突出症临床症状体征严重度与髓核突出方式关系探讨[J].安徽中医学院学报,2009,28(1):16-18.
[12]刘奕锋,王伯胤.X线平片检查在颈椎病诊断中的意义[J].中医正骨,2007,19(3):17-19.
[13]陈雄生,贾连顺,袁文,等.脊髓型颈椎病自然史规律研究[J].中国矫形外科杂志,2002,10(13):1301-1304.