腰椎间盘突出症术后MRI检查意义及应用价值
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摘要
目的:研究腰椎间盘突出症患者术后MRI检查的意义及应用价值。方法:40例腰椎间盘突出症患者,根据随访资料分为复发组,15例复发病例;对照组,25例未复发病例,分析术前病情严重程度对复发的影响。结果:复发组椎间盘轻度退变占比80.0%,重度退变占20.0%,对照组椎间盘轻度退变占48.0%,重度退变占比52.0%,两组间差异有统计学意义(P<0.05);复发距首次手术的时间与椎间盘退变程度呈正相关(r=0.6285,P<0.05)。结论:MRI检查可为术后疗效评价以及临床治疗提供依据。
Objective: To explore the significance and application value of post-operative MRI in patients with lumbar disc herniation. Methods: 40 patients with lumbar disc herniation were divided into recurrence group and control group according to the follow-up data. There were 15 cases of recurrence in the recurrence group and 25 cases of non-recurrence in the control group. The influence of severity of disease before operation on recurrence was analyzed. Results: The rate of mild and severe degeneration of intervertebral disc was 80.0% and 20.0% in the relapse group, 48.0% and 52.0% in the control group. There was a significant difference between the two groups(P<0.05). The time between relapse and the first operation was positively correlated with the degree of intervertebral disc degeneration(r=0.6285, P< 0.05). Conclusion: MRI examination can provide a basis for the evaluation of postoperative efficacy and clinical treatment.
Objective: To explore the significance and application value of post-operative MRI in patients with lumbar disc herniation. Methods: 40 patients with lumbar disc herniation were divided into recurrence group and control group according to the follow-up data. There were 15 cases of recurrence in the recurrence group and 25 cases of non-recurrence in the control group. The influence of severity of disease before operation on recurrence was analyzed. Results: The rate of mild and severe degeneration of intervertebral disc was 80.0% and 20.0% in the relapse group, 48.0% and 52.0% in the control group. There was a significant difference between the two groups(P<0.05). The time between relapse and the first operation was positively correlated with the degree of intervertebral disc degeneration(r=0.6285, P< 0.05). Conclusion: MRI examination can provide a basis for the evaluation of postoperative efficacy and clinical treatment.
引文
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[2] AHN Y,JEONG T S,LIM T,et al.Grading system for migrated lumbar disc herniation on sagittal magnetic resonance imaging:an agreement study[J].Neuroradiology,2018,60(1):101-107.
[3] 李嘉宾,杨学军.腰椎间盘退变的组织病理学与磁共振成像之间的研究进展[J].内蒙古医科大学学报,2018,40(2):196-200.
[4] 胡君,李霞.术前磁共振影像对腰椎间盘突出症术后复发的诊断价值[J].中国卫生标准管理,2018,9(6):95-96.
[5] 张树军,陈海松,周锐志,等.磁共振常规图像诊断腰椎间盘突出的不足:与手术结果对比研究[J].磁共振成像,2018,9(2):117-121.
[6] LAO L,DAUBS M D,TAKAHASHI S,et al.Kinetic magnetic resonance imaging analysis of lumbar segmental motion at levels adjacent to disc herniation[J].Eur spine J,2016,25(1):222-229.
[7] 吕兰.磁共振功能成像在腰椎间盘突出神经根损伤中诊断价值研究[J].世界最新医学信息文摘,2015,15(A2):159.
[8] ALTINKAYA N,CEKINMEZ M.Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging[J].Skeletal radiology,2016,45(1):73-77.
[9] 李勇,孔祥泉,杨帆,等.MRI及3D-STIR序列联合应用在腰椎间盘突出症中的价值[J].临床放射学杂志,2014,33(1):95-99.
[10] 王渠,廖华强,谢明国,等.磁共振弥散加权成像评价急性腰椎间盘突出患者的神经根损伤的价值研究[J].当代医学,2018,24(11):45-48.