青少年颈椎椎间盘MRI测量的应用解剖学研究

王振锋,吴琼,李志军,李建国,王星,张少杰,刘颖

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (4) : 375-377.

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (4) : 375-377. DOI: 10.13418/j.issn.1001-165x.2016.04.004
断层影像解剖

青少年颈椎椎间盘MRI测量的应用解剖学研究

  • 王振锋1,  吴琼2,  李志军3 , 李建国4 ,  王星3,  张少杰3 ,  刘颖3
作者信息 +

Applied anatomical study of adolescent cervical disc measured by MRI

  • WANG Zhen-feng1, WU Qiong2, LI Zhi-jun3, LI Jian-guo4, WANG Xing3, ZHANG Shao-jie3, LIU Ying3
Author information +
文章历史 +

摘要

目的 通过MRI对青少年颈椎椎间盘的测量,为人工间盘设计、置换及椎间盘相关疾病诊治提供理论依据。  方法 用SIGNA MR/1.5T磁共振对40例正常青少年(14~17岁)颈椎间盘矢状位多层面的高度及前后径测量:以颈椎正矢状面为中心,分别向两侧以3 mm为间隔,扫描5组矢状位图像,选择正中层面测量椎间盘中心高度与前后径,由两名MRI副主任医师测量后取平均值。   结果 (1)颈椎间盘前后径为(14.036±1.812) mm,中心高(4.111±0.813) mm;(2)从C2~3到C6~7各组椎间盘前后径和中心高组间比较均无统计学差异(均P>0.05)。(3)按性别各组椎间盘前后径和中心高组间比较均无统计学差异(均P>0.05)。   结论 (1)14~17岁青少年颈椎椎间盘高度、前后径各值从C2~7呈渐增趋势,各测量值间无统计学差异。(2)MRI可直观显示青少年颈椎间盘形态,测量数据能够满足人工椎间盘选择需要。

Abstract

Objective To provide the theory evidence of artificial disc design, replacement and disc related diseases by measurement of the cervical intervertebral disc of adolescent using MRI.    Method    40 normal adolescent cases were used to measure the height and diameter of the sagittal plane of cervical intervertebral disc by SIGNA MR/1.5T MRI. 5 groups of the sagittal images were scanned with the cervical sagittal versine as the center, respectively to the two sides at intervals of 3 mm. The center height and diameter of intervertebral disc were measured in the center of the middle plane,and finally the average measurement data was chosen from two deputy chief physician of the MRI.    Result     (1) The anterior posterior cervical disc was (14.036±1.812)mm and center height was (4.111±0.813)mm. (2) No statistic difference was found between the center height and diameter from C2~3 to C6~7(P>0.05).(3) No statistic difference was found between males and females in the each group of the center height and diameter(P>0.05).    Conclusion    (1) The center height and diameter of C2 to C7 vertebrae in teenagers of 14~17 years old. There was no significant difference among the measured values. (2) MRI may directly display the cervical intervertebral disc shape, and the data may meet the the requirement of an artificial disc.

关键词

颈椎间盘 / MRI测量 / 解剖学 / 青少年

Key words

Cervical intervertebral disc / MRI / Anatomy / Teenagers

引用本文

导出引用
王振锋,吴琼,李志军,李建国,王星,张少杰,刘颖. 青少年颈椎椎间盘MRI测量的应用解剖学研究[J]. 中国临床解剖学杂志. 2016, 34(4): 375-377 https://doi.org/10.13418/j.issn.1001-165x.2016.04.004
WANG Zhen-feng, WU Qiong, LI Zhi-jun3, LI Jian-guo, WANG Xing, ZHANG Shao-jie, LIU Ying. Applied anatomical study of adolescent cervical disc measured by MRI[J]. Chinese Journal of Clinical Anatomy. 2016, 34(4): 375-377 https://doi.org/10.13418/j.issn.1001-165x.2016.04.004

参考文献

[1]  胡伟. 人工颈椎间盘置换的临床应用[J].中国实用医药, 2011, 6(8):104-105.
[2]  Garrido BJ, Taha TA, Sasso RC. Clinical outcomes of Bryancervical disc arthroplasty aprospective, randomized, controlled, single site trial with 48-month follow-up[J].J Spinal Disord Tech, 2010, 23(6):367-371.
[3]  姜锦鹏, 顾洪生, 刘伟强, 等. 正常成人颈椎间盘相关参数测量及意义[J].中国临床解剖学杂志, 2013, 31(1):32-36.
[4] Neubert A, Fripp J, Engstrom C, et al. Three-dimensional morphological and signal intensity features for detection of intervertebral disc degeneration from magnetic resonance images[J]. J Am Med Inform Assoc, 2013, 20(6):1082–1090.
[5]  张强, 邹德威, 吴继功, 等. 人工椎间盘置换术治疗颈椎病的初步结果[J]. 颈腰痛杂志, 2007, 28(5):380-382.
[6]  邹德威, 谭荣, 张瑞娟, 等. 人工椎间盘置换术治疗颈椎间盘疾患的早期观察[J]. 中国脊柱脊髓杂志, 2006, 16(2):90-94.
[7]  田伟, 韩骁. 颈椎人工间盘置换术[J]. 中华骨科杂志,2010,30(11):1161-1164.
[8]  Fong SY, DuPlessis SJ, Casha S, et al. Design limitations of Bryan disc arthroplasty[J]. Spine J, 2006, 6(3):233-241.
[9]  Goffin J, Casey A, Kehr P, et al. Preliminary clinical experience with the Bryan Cervical Disc Prosthesis[J]. Neurosurgery, 2002, 51(5):840-847.
[10]Traynelis VC. The Prestige cervical disc replacement[J]. Spine J, 2004, 4(6): 310-314.
[11]Ren X, Wang W, Chu T, et al. The intermediate clinical outcome and its limitations of Bryan cervical arthroplasty for treatment of cervical disc herniation[J]. J Spinal Disord Tech, 2011, 24(4):221-229.
[12]王岩, 肖篙华, 陆宁, 等. 颈人工椎间盘假体置换术的临床应用[[J]. 中华外科杂志, 2004, 42(21): 1333-1337.

基金

国家自然科学基金(81260269); 内蒙古自然科学基金(2013MS1126)


Accesses

Citation

Detail

段落导航
相关文章

/