先天性颈椎融合邻近节段椎间盘退变的影像与研究.pdfVIP

＼ 一，0 ＼ ＼． ，j，，”～ ／亡] i’， H目 ’／ 一篓：：：：：：：：：：：：：：：：：：：：：：：：：：：：：：：：：：：：：：： 临床资料和方法………………………………………………………………4 结果·······················································································8 讨论························-······························································13 结论·······································································“··············19 参考文献……………………………………………………………………………20 致谢·····························································································2l 附录······························-··············-···············································22 文献综述……………………………………………………………………………25 作者简历…………………………………………………………………·………··29 -I Il_lllIl ＼ ● 一 ———————————————————————————～ 先天性颈椎融合邻近节段椎间盘退变的影像研究 黄长钟 中文摘要 目的：通过调查先天性颈椎融合患者邻近节段椎间盘退变状况，预测颈椎前路植骨融合 内固定术后其邻近节段椎间盘的退变状况，为颈椎病颈椎前路弹性固定的应用进一步提 出理论依据。 确诊断为先天性颈椎融合患者，共计31例，其中男性2l例，女性患者lO例。我院体检中心随． 机筛选30例过往无颈部外伤史的成年人作为对照组。两组均拍摄磁共振及颈椎中立位正 侧位X片。以颈椎的生理曲度，椎间盘退变情况做为观察指标，按照Pfirrmann分级标准及 椎间盘突出的程度与形态进行评分，并对其结果进行统计学分析s 。 结果： 1、先天颈椎融合组其生理曲度明显小于对照组，两组统计学上具有非常显著差异。 2、先天颈椎融合组有59个轻中度退变椎间盘，46个重度退变椎间盘，对照组有113个椎间 盘轻中度退变，16个椎间盘重度退变。两组从整体的退变率在统计学上无显著差异，但 在重度椎问盘的退变在统计学上两组具有非常显著差异。 3、先天性颈椎融合组邻近上下节段与非邻近节段椎间盘退变对比，两组间具有非常显 著差异，而其邻近上下节段对比两组间也具有非常显著差异。 结论： l、先天性颈椎融合导致其生理曲度改变。 2、先天性颈椎融合使颈椎间盘退变加快，其邻近椎间盘退变明显，且融合节段下一椎 间盘比上一椎间盘退变更为明显。 关键词：先天性颈椎融合颈椎病颈椎间盘退变颈椎前路融合术弹性固 定 the of FusionofCervicalVertebrae on Study ImageCongenital withDisc of acent