颈椎椎管容积的动态CT测量及其临床意义论文.docVIP

　　颈椎椎管容积的动态CT测量及其临床意义论文 .freele Rendering,VR)等后处理成像，测量每一截面骨性椎管和纤维性椎管的面积及椎管椎体的矢状径线，利用MATLAB求出三种体位下颈椎的椎管占位率，经统计学处理后分析其动态变化。［结果］在中立位下.freeleasure cervical spinal canal volume under dynamic CT，and realize the dynamic change of the canal volume occupying ratio by herniated disc and tissue in three positions：hyperflexion，neutral and hyperextension，in normal adults and cervical spondylotic myelopathy(CSM) patients，and then probe its clinical significance［Method］ Ten cases of normal and 20 cases of CSM ation entBy using Volume Rendering(VR),the areas of both bony canal and fibrous canal in every chosen cross-sections and the sagittal diameters of cervical canal and cervical vertebra body edsuredThe cervical spinal canal volume occupying ratio ic change［Result］ There e occupying ratio in neural position betal and CSM patients(P 001)For those CSM patients，the cervical spinal canal ratio in neural position eter of cervical spinal canal，the effective cervical spinal canal ratio and the cervical spinal canal volume occupying ratio ic change of the cervical spinal canalvolume occupying ratio al and CSM patientsThe result ic change of the cervical spinal canal volume occupying ratio is an objective reflection of the dynamic change of pressure burden the cervical spinal cord bore in movement (flection and extention)，and it has great significant in predicting the episode of CSM，estimating the degree of the pression to spinal cord and choosing a better surgical approach(2)The mechanism of spinal injury is that，in hyperextention，the cervical spinal canal volume occupying ratio increase dramaticallyIn hyperflexion，increased cervical spinal canal volume occupying ratio may be the pensate mechanism e；occupying ratio；spiral CT；measurement 随着对颈椎椎管屈伸动力运动的了解逐步深入，对椎间盘及椎管内软组织随体位动态变化的认识也日益深刻［1~4］。但目前颈椎的形态学测量多集中于椎管椎体径线［5~8］或椎管面积［9~11］，无法全面衡量颈椎椎管及其内容的动态变化。部分容积测量数据来源于尸体标本［1、12］，虽有参考价值但不能应用于临床。作者结合螺旋CT(spiral CT,SCT)扫描和MATLAB数学语言，通过对正常人和脊髓型颈椎病患者在三种体位下颈椎管容积的测量，观察椎管占位率的动态变化，并探讨其临床意义。 1材料与方