临床骨科杂志2011，Vol.14Issue(3)：252-255,4.
脊髓型颈椎病术前脊髓MRI T2高信号的临床意义
Clinical significance of preoperative increased signal intensity on magnetic resonance imaging-T2 weighted in patients with cervical spondylotic myelopathy
周公社 1韩德韬1
作者信息
- 1. 福建医科大学省立临床医学院,福建,福州,350001
- 折叠
摘要
Abstract
Objective To investigate the relationship between the clinical characteristics and preoperative increased signal intensity on magnetic resonance imaging( MRI )-T2 weighted in patients with cervical spondylotic myelopathy ( CSM ) surgically treated by cervical anterior decompress approach.Methods 48 patients with CSM underwent cervical anterior decompress surgery and had preoperative MRI performed.These patients were divided by preoperative increased signal intensity on magnetic resonance imaging( MRI )-T2 weighted into 3 groups : normal T1/normal T2 was group A ( 21 cases ) ,normal T1/long T2 was group B ( 22 cases ) and long T1/long T2 was group C ( 5 cases ).Patients' ages, duration of disease, preoperative JOA score were recorded.Postoperative JOA score and the recovery ratio were followed up.Results A statistically significant difference in preoperative JOA score, postoperative followed -up JOA score and the recovery ratio was shown between A group and C group( P ＜ 0.05 ) , between B group and C group ,while A group and B group had no statistically significant difference( P ＞ 0.05 ).Conclusions The preoperative long T1/long T2 signal in CSM patients have lower preoperative JOA score, postoperative followed -up JOA score and the recovery ratio.The preoperative normal T1/long T2 signal in patients with CSM could have a good recovery.The preoperative long T1/long T2 signal in CSM patients can be a prognosis to estimate had postoperative recovery.关键词
脊髓型颈椎病/磁共振成像/T2加权像高信号/临床特征/预后Key words
cervical spondylotic myelopathy/ magnetic resonance imaging/ T2-weight increased signal intensity/clinical characteristic / prognosis分类
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周公社,韩德韬..脊髓型颈椎病术前脊髓MRI T2高信号的临床意义[J].临床骨科杂志,2011,14(3):252-255,4.
