解放军医学院学报Issue(3)：234-236,3.DOI:10.3969/j.issn.2095-5227.2013.03.014
脊髓型颈椎病患者MRI T2分级的临床意义
Clinical significance of MRI T2 image classification in patients with cervical spondylotic myelopathy
刘建恒 1毛克亚 1毛克政 1孙永 1周亮 1刘郑生1
作者信息
摘要
Abstract
Objective To study the clinical value of increased signal intensity (ISI) on MRI T2-weighted images for the severity of symptoms and surgical outcomes in patients with cervical spondylotic myelopathy (CSM). Methods One hundred and sixteen patients admitted to our department from September 2005 to June 2009 were enrolled in this study. The patients underwent MRI before cervical posterior laminoplasty and classified into grade 0 with no ISI, grade 1 with light (obscure) ISI, and grade 2 with intense (bright) ISI. The severity of CSM was scored according to the Japanese Orthopedics Association (JOA) criteria for CSM. Results Of the 116 CSM patients, 40 were classified as grade 0, 47 as grade 1, and 29 as grade 2. The disease course was (11.2±25.6) months and (36±33.7) months for grade 0 and grade 2 patients, respectively. No significant difference was found in the CSM score of grades 1-3 patients according to the JOA criteria. The lowest and highest scores of grade 0 patients were significantly higher than those of grade 3 patients before and after operation ((15.6±1.7) vs (10.6±2.0), (65.1±24.3) vs (36.1±30.3)). Conclusion ISI on T2-weighted MRI in CSM patients before operation is correlated with their age, disease course, preoperative and postoperative CSM score according to the JOA criteria. The improvement rate is the lowest for patients with the highest ISI after operation. Classification of ISI on T2-weighted MRI can be used as an indication for the prognosis assessment of CSM patients.关键词
脊髓型颈椎病/核磁共振/髓内高信号Key words
cervical spondylotic myelopathy/magnetic resonance imaging/increased signal intensity分类
医药卫生引用本文复制引用
刘建恒,毛克亚,毛克政,孙永,周亮,刘郑生..脊髓型颈椎病患者MRI T2分级的临床意义[J].解放军医学院学报,2013,(3):234-236,3.
