老年慢性挥鞭性翼状韧带损伤的磁共振研究（英文）

发布时间：2018-11-20 14:45

【摘要】：目的:探讨老年慢性挥鞭性翼状韧带损伤的影像学特点,为因翼状韧带损伤造成老年长期头颈部疼痛提供有效的检查手段。方法:选取134例长期从事挥鞭性运动或工作并患有长期头颈部疼痛的老年患者,对患者进行常规全面体检(包括CT,MR,超声,实验室检验)和3.0T磁共振质子密度加权像(proton density-weighted imaging,PDWI),根据常规全面体检结果将患者分为病因明确组(CE组)和病因不明组(UE组),对两种的PDWI影像学特点进行分析。结果:磁共振PDWI能够清晰显示翼状韧带的解剖结构及信号改变特点,斜冠位能够有效显示翼状韧带挥鞭性损伤的全貌。在CE组,96例患者中7例韧带损伤征阳性;在UE组38例患者中21例韧带损伤征阳性。有15.7%的长期头颈痛患者被证实源于慢性挥鞭性翼状韧带损伤。结论:挥鞭性翼状韧带损伤是造成老年长期头颈部疼痛的重要原因,高分辨率PDWI是评价翼状韧带的有效方法,能对因翼状韧带挥鞭性损伤造成的慢性头颈部疼痛作出准确诊断。
[Abstract]:Objective: to investigate the imaging features of chronic whiplash ligament injury in the elderly and to provide an effective examination method for the long term head and neck pain caused by the injury of the winglike ligament. Methods: a total of 134 elderly patients who had been engaged in whiplash exercise or work for a long time and suffered from head and neck pain for a long time were examined by routine and comprehensive physical examination (including CT,MR, ultrasound). Laboratory tests) and 3.0T magnetic resonance proton density weighted imaging (proton density-weighted imaging,PDWI). According to the results of general physical examination, the patients were divided into two groups: the group with definite etiology (CE group) and the group with unknown etiology (UE group). The imaging features of two kinds of PDWI were analyzed. Results: magnetic resonance (PDWI) could clearly display the anatomical structure and signal characteristics of the winglike ligament, and oblique coronal position could effectively display the full picture of the whiplash injury of the winglike ligament. In CE group, 7 out of 96 patients were positive for ligament injury, and 21 out of 38 patients in UE group were positive for ligament injury. 15.7% of patients with long-term head and neck pain were confirmed to be associated with chronic whiplash ligaments injury. Conclusion: whiplash injury is an important cause of long term head and neck pain in the elderly. High resolution PDWI is an effective method to evaluate the pterygoid ligament and can accurately diagnose the chronic head and neck pain caused by whiplash injury of the winglike ligament.
【作者单位】：中南大学湘雅医学院附属海口医院放射科;中南大学湘雅三医院放射科;中南大学湘雅医学院附属海口医院骨科;
【基金】：supported by the Key Project of Medical Research of Hainan Province,P.R.China(Qiong-wei-2010-Key Projects 06)
【分类号】：R445.2;R686.5

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