椎间盘退变及其血管化的磁共振研究.pdfVIP

骨骼肌肉影像学 MUSCULOSKELETALlMAGING 161一 椎间盘退变及其血管化的磁共振研究 俎金燕 贾宁阳 王晨光 徐雪元 赵洪波 【摘要】目的：运用MRI评价退变椎间盘与椎间盘血管化之间的关系。方法：根据椎间盘Pm分级和终板变形对 71例376个椎间盘的磁共振平扫和增强扫描进行对照研究。结果：376个椎间盘，220个发生不同程度及不同形 态强化，强化率为58．51％。PmI级13个，强化0个；Ⅱ级73个，强化17个，强化率23．29％；Ⅲ级178个，强化107个， 强化率60．11％；IV级93个，强化78个，强化率83．87％；V级19个，强化18个，强化率94．74％。终板断裂型164个， 强化140个，强化率85．37％；终板完整型212个，强化80个，强化率37．74％。Pm分级和终板形态改变均与椎间盘 血管化关系密切，统计学检验，P均0．005。结论：椎间盘退变、终板断裂与椎间盘血管化关系密切，磁共振增 强扫描可直观可靠地诊断退变椎间盘的血管化。 【关键词】椎间盘退变；新生血管化，病理性；磁共振成像 中图分类号：R445．2文献标志码：A 文章编号：1006．5741(2012)．02—0161．05 StudyofIntervertebralDiscsDegeneratiOnandVascularization byM agneticResonanceImaging ZU Jin-yan，JIANing-yang，WANGChen—guang，XUXue-yuan，ZHAOHong—bo A【bstract】Purpose：Toevaluatetherelationshipbetweenthedegenerationandvascularizationofthe intervertebraldiscsbyMRI．M ethods：W ecollected71cases including44malesand27females．All patientsunderwentplainandenhancedM RIexaminations．AccordingtothePm gradeandthedeformation ofend—platesofthediscs，a controlledstudywasconducted．Results：Threehundredandseventy．sixdiscs wereobtainedfrom 71patientsincluding22thoracicdiscsand354lumbarintervertebraldiscs．A totalof 220intervertebraldiscswereenhanced．theenhancedratewas58．51％．Ofthesediscs．13werePm grade I andnoneofwhichwasenhanced；73weregrade Ⅱand 17ofwhichwereenhanced．theenhancedratewas 23．29％：178weregradeⅢ and 107ofwhichwereenhanced．theenhancedratewas60．11％：93weregrade IV and7817ofwhichwereenhanced．theenhancedratewas83．87％：19weregradeV and18ofwhichwere enhanced．theenhancedratewas94．74％ ．Therewere164discswithrfacturedend．plateand 140ofwhich wer