摘要
目的:探讨椎动脉磁共振血管成像(MRA)在椎动脉型颈椎病临床手法诊治中的重要作用,为椎动脉型颈椎病的临床诊治提供思路。方法:2007年5月至2010年12月,研究符合椎动脉型颈椎病诊断标准的患者(观察组,53例)和正常人(对照组,30例)的颈椎MRA中椎动脉走行及管径情况,其中观察组男19例,女34例;年龄26～72岁,平均(52.51±11.29)岁;对照组男10例,女20例;年龄25～70岁,平均(48.11±12.21)岁。比较两组受试者椎动脉走行及管径异常发生率的差异性,并结合X线、MRI、MRA资料对观察组的椎动脉走行及管径异常改变的因素及特点进行分析。结果:与对照组相比,观察组椎动脉走行及管径异常的发生率达81.13%(43/53),两者比较差异有统计学意义(P=0.000);且椎动脉走行及管径异常改变形式较复杂和多样化,其中以局部迂曲狭窄最为常见,累计占47.18%(25/53);局部迂曲狭窄因素以椎间关节错缝为主,占43.41%(23/53)。结论:椎动脉型颈椎病患者容易发生椎动脉走行及管径异常改变,而MRA可有效诊断椎动脉的异常改变。
Objective：To study clinical significance of vertebral artery magnetic resonance angiography （MRA） to vertebral artery type of cervical spondylosis ＇ diagnosis and treatment. Methods ：There were two groups in the study ,which were observation group and control group. There were 53 patients in observation group ,including 19 males and 34 females ,with a mean age of （52.51±11.29） years. There were 30 subjects in control group,including 10 males and 20 females,with a mean age of （48.11 ± 12.21 ） years. Based on the vertebral artery MRA picture, the course and caliber of vertebral artery were compared between two groups. Results ：The abnormal incidence of course and caliber of vertebral artery in observation group was higher than that of control group, which had statistic difference （P=0.000）. Furthermore,the patterns of abnormal course and caliber of vertebral artery in observation group were complicated and diverse ,but the regional eircuity and stegnosis was the most common pattern,about 47.18% （25/53）. The cause of circuity and stegnosis was vertebra Gu-Cuofeng,about 43.41% （23/53）. Conclusion： The vertebral artery MRA provides a guidance for the diagnosis of abnormal course and caliber of vertebral artery in vertebral artery cervical spondylosis.
出处
《中国骨伤》
CAS
2013年第11期908-912,共5页
China Journal of Orthopaedics and Traumatology
基金
国家自然基金项目(编号:81001528
81073114)
上海市卫生局青年科研项目(编号:2010Y131)
上海高校青年教师培养资助计划(编号:szy11047)~~
关键词
椎动脉
颈椎病
磁共振血管造影术
手法
骨科
Vertebral artery
Cervical spondylosis
Magnetic resonance angiography
Manipulation, orthopedic
