青年型颈椎病的X线、CT、MR诊断价值分析.pdfVIP

西部医学2008年3月第20卷第2期 Med J West China，March 2008，Vo1．20。No．2 375 青年型颈椎病的X线、CT、MR诊断价值分析 郭 强，杨正刚 (成都市第六人民医院，四川 成都610051) 【摘要】 目的 探讨不同影像学检查方法对青年型颈椎病的诊断价值。方法 对100例4O岁以下有明显颈椎病症 状的患者进行x线、CT、MR检查。并将检查结果进行分析。结果 青年型颈椎病影像表现包括：椎阃盘突出、颈椎生理 弧弓改变、硬膜囊及神经根受压等。结论 椎间盘突出是青年型颈椎病的主要影像学表现。而x线平片不能显示椎间盘 改变。CT应作为首选检查方式。MR可作为进一步检查方法。 【关键词】 青年型； 颈椎病； 放射摄影术； 体层摄影术；X线计算机；磁共振成像 【中图分类号】 R816．8 【文献标识码】 A 【文章编号】 1672—3511(2008)02—0375—02 Diagnostic value of X—ray，CT，and MR for youth cervical syndrome GUO Qiang。YANG Zheng-gang (The Sixth People’s Hospital of Chengdu，Chengdu 610051，China) [Abstract] Objective To appraise the diagnostic value of various imaging methods for youth cervical syndrome． Methods One hundred patients aged below 40 years suffering from cervical syndrome were examined by radiography， computed tomography and magnetic resonance．The diagnostic results were comparatively analysed．Results The imaging manifestations revealed by radiography，computed tomography and magnetic resonance included intervertebral disk hernia，physiological curvature alteration of the cervical vertebra，the hard membranous and the nerve root compression，etc．Conclusion Intervertebral disk hernia is the major imaging findings in youth cervical syndrome． Radiography can not reveal this kind of intervertebral disk alteration．Computed tomography should regard as the first choice of diagnostic method．Magnetic resonance can be used as the alternative for further examination． [Key words] Youth；Cervical syndrome； Radiography； Computed tomography。X—ray computed； Magnetic Resonance imaging 我们对100例40岁以下有明显颈椎病临床症状 反弓；椎体轻度骨质增生31例，包括椎体边缘骨质增 的患者进行X线、CT和MR检查，并对结果进行分 生、钩椎关节骨质增生；椎体滑位6例；韧带钙化8例。