脊髓型颈椎病术后脊髓受压征象的MRI评分与临床预后的关系
发布时间：2018-09-12 19:41
【摘要】：目的： 探讨脊髓型颈椎病术后脊髓受压征象的MRI评分及改善率与术后颈椎JOA评分及改善率的相关性。 方法： 回顾性分析2010年1月—2012年12月在吉林大学白求恩第二医院就诊的30例行颈椎手术治疗的多节段脊髓型颈椎病患者颈椎术前、术后MRI资料，所有患者均行术前、术后JOA评分。患者年龄45-73岁，平均57.1±8.9岁，其中男18例，，女12例。依据脊髓型颈椎病脊髓受压征象MRI评分系统对其术前、术后6个月MRI进行评分（总分最高30分，最低0分，分数越高表明影像学受压程度越严重），并计算脊髓受压征象改善率（（术前分数-术后分数）/术前分数×100%）。分析术后脊髓受压征象MRI评分与术后JOA评分的相关性；及术后脊髓受压征象MRI评分改善率与术后JOA评分改善率的相关性。 结果： 随访时间6个月，30例患者JOA评分从术前的平均9.3±2.4分，增加到术后的12.9±1.8分，JOA评分改善率为47.4±14.7%；脊髓受压征象MRI评分由术前平均10.5±3.9，减少到术后平均6.1±2.7，MRI评分改善率为40.8±15.9%。术后MRI评分与JOA评分进行Spearman相关性分析，相关系数为-0.699，P0.01，呈显著性负相关。术后MRI评分改善率与JOA评分改善率进行Spearman相关性分析，相关系数为0.376，P=0.041（0.05），呈显著性正相关。 结论： 脊髓型颈椎病脊髓受压征象MRI评分系统不仅可评价脊髓型颈椎病术后影像学改善情况，而且可以有效地预测临床预后。
[Abstract]:Objective: to investigate the correlation between MRI score and improvement rate of spinal cord compression after cervical Spondylotic myelopathy (cervical Spondylotic myelopathy). Methods: the MRI data of 30 patients with multilevel cervical Spondylotic myelopathy treated by cervical surgery from January 2010 to December 2012 in Bethune Hospital of Jilin University were analyzed retrospectively. All patients received preoperative and postoperative JOA scores. The age of the patients was 45-73 years (mean 57.1 卤8.9 years), including 18 males and 12 females. According to the MRI scoring system of spinal cord compression sign of cervical Spondylotic myelopathy, the MRI was evaluated before and 6 months after operation (total score was highest 30 points, lowest 0 point). The higher the score was, the more severe the imaging compression was. The improvement rate of spinal cord compression was calculated (preoperative fracture-postoperative score) / preoperative score 脳 100%. To analyze the correlation between the MRI score of postoperative spinal cord compression sign and the postoperative JOA score, and the correlation between the improvement rate of MRI score of postoperative spinal cord compression sign and the improvement rate of postoperative JOA score. Results: the average JOA score of 30 patients was increased from 9.3 卤2.4 before operation to 12.9 卤1.8 after operation. The improvement rate of JOA score was 47.4 卤14.7. The MRI score of spinal cord compression was decreased from 10.5 卤3.9 before operation to 6.1 卤2.7 postoperatively. The improvement rate was 40.8 卤15.9. The correlation between MRI score and JOA score was analyzed by Spearman, the correlation coefficient was-0. 699g / P 0. 01, there was a significant negative correlation between Spearman score and JOA score. The improvement rate of MRI score and the improvement rate of JOA score were analyzed by Spearman correlation analysis after operation. The correlation coefficient was 0. 376 and 0. 041 (0. 05), and there was a significant positive correlation between the improvement rate of MRI score and the improvement rate of JOA score. Conclusion: MRI scoring system can not only evaluate the imaging improvement of cervical Spondylotic myelopathy, but also predict the clinical prognosis.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R687.3;R445.2
本文编号：2240033
[Abstract]:Objective: to investigate the correlation between MRI score and improvement rate of spinal cord compression after cervical Spondylotic myelopathy (cervical Spondylotic myelopathy). Methods: the MRI data of 30 patients with multilevel cervical Spondylotic myelopathy treated by cervical surgery from January 2010 to December 2012 in Bethune Hospital of Jilin University were analyzed retrospectively. All patients received preoperative and postoperative JOA scores. The age of the patients was 45-73 years (mean 57.1 卤8.9 years), including 18 males and 12 females. According to the MRI scoring system of spinal cord compression sign of cervical Spondylotic myelopathy, the MRI was evaluated before and 6 months after operation (total score was highest 30 points, lowest 0 point). The higher the score was, the more severe the imaging compression was. The improvement rate of spinal cord compression was calculated (preoperative fracture-postoperative score) / preoperative score 脳 100%. To analyze the correlation between the MRI score of postoperative spinal cord compression sign and the postoperative JOA score, and the correlation between the improvement rate of MRI score of postoperative spinal cord compression sign and the improvement rate of postoperative JOA score. Results: the average JOA score of 30 patients was increased from 9.3 卤2.4 before operation to 12.9 卤1.8 after operation. The improvement rate of JOA score was 47.4 卤14.7. The MRI score of spinal cord compression was decreased from 10.5 卤3.9 before operation to 6.1 卤2.7 postoperatively. The improvement rate was 40.8 卤15.9. The correlation between MRI score and JOA score was analyzed by Spearman, the correlation coefficient was-0. 699g / P 0. 01, there was a significant negative correlation between Spearman score and JOA score. The improvement rate of MRI score and the improvement rate of JOA score were analyzed by Spearman correlation analysis after operation. The correlation coefficient was 0. 376 and 0. 041 (0. 05), and there was a significant positive correlation between the improvement rate of MRI score and the improvement rate of JOA score. Conclusion: MRI scoring system can not only evaluate the imaging improvement of cervical Spondylotic myelopathy, but also predict the clinical prognosis.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R687.3;R445.2
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