脊髓型颈椎病手术前后临床MRI评价.pdf

脊髓型颈椎病手术前后临床MRI 评价 preoperative JOA scores and recovery rate （P ＞0.05 ）. (3) The compression ratio of spinal cord cross-section correlated negatively with preoperative JOA scores （r = -0.501, P =0.080 ）, postoperative JOA scores （r = -0.819, P ＜0.001 ）and recovery rate （r = -0.547, P =0.003 ）. (4) The SIR on T2WI of the obvious segment (RbT2R) correlated with preoperative （r = -0.611, P =0.001 ） and postoperative JOA scores （r = -0.522, P =0.005 ）, but not with recovery rate （P =0.235 ）. (5) The SIR on T2WI and SIR on T1WI of the most severe lesion segment (RaT2R RaT1R) had no significant relevance with preoperative, postoperative JOA scores and recovery rate ( P ＞0.05). (6) The SIR on T2WI of the obvious segment (RbT2R) correlated negatively with the degrees of cervical spinal cord flattening （r = -0.541, P =0.004 ）. The compression ratio of spinal cord cross - section （r = 0.617, P =0.001 ） and disease duration （r =0.520, P =0.005 ） correlated positively with RbT2R. The linear regression analysis suggested that the compression ratios of spinal cord cross-section was the most significant factor that affect the SIR on T2WI （R2 =0.299 ）. (7) The recovery rate correlated negatively with patient age （r = -0.400, P =0.039 ）, disease duration （r = -0.396, P =0.041 ）and the compression ratio of spinal cord cross- section （r = -0.547, P =0.003 ）. (8) There were significant differences between anterior approach and posterior approach in recovery rate （P =0.003 ）. Conclusions: The measurement of morphological and signal intensity changes on