寰齿关节退行性变在CT矢状位重建图像中的表现

发布时间：2018-03-28 20:54

本文选题：寰枢关节　切入点：退行性变　出处：《山东大学》2017年硕士论文

【摘要】：目的:观察寰枢关节退行性变的CT表现及其随年龄的增长。本研究的主要目的对寰枢关节CT重建图像各种表现进行系统分析,进而阐述各种影像表现的临床意义。方法:本研究回顾性分析2016年1月-2016年6月在山东省立医院接受寰枢关节CT扫描的患者。共有219例患者入组;男性125例,女性94例;患者年龄25-82岁(平均年龄52岁);症状持续时间5个月-10年。对219例有阳性临床症状病患的寰枢关节进行CT扫描、重建,按年龄分组对该关节的退行性改变进行统计学分析。在各年龄组间性别没有明显的统计学差异。结果:寰枢关节退行性变具有出现早,普遍性,时序性的特点。大多数寰枢关节退行性变的发生率随着年龄的增大有增加的趋势。韧带钙化(34.4%)和颈椎骨桥的形成(36.1%)的发生率在60岁年龄组明显升高。我们还发现,在大于60岁患者,韧带的钙化是寰枢关节退变的主要征象;因此CT不仅对骨结构敏感,同时可以准确显示韧带的改变。结论:寰枢关节退行性变的CT表现反应了其病理过程,为临床治疗提供宝贵信息。
[Abstract]:Objective: to observe the CT manifestations of atlantoaxial joint degeneration and its age. Methods: from January 2016 to June 2016, the CT scan of atlantoaxial joint was performed in Shandong Provincial Hospital. A total of 219 patients (125 males, 94 females) were enrolled in the study. The patients were 25 to 82 years old (mean 52 years old) and the symptoms lasted from 5 months to 10 years. Ct scanning and reconstruction were performed on the atlantoaxial joints of 219 patients with positive clinical symptoms. The degenerative changes of the joint were statistically analyzed by age group. There was no significant statistical difference between the sexes of each age group. Results: the atlantoaxial joint degeneration appeared earlier and more commonly. Temporal characteristics. The incidence of most atlantoaxial degenerative changes tends to increase with age. The incidence of calcification of ligaments (34.4) and cervical vertebrae bridge formation (36.1)) increased significantly in the 60-year-old group. In patients over 60 years old, calcification of ligaments is the main sign of atlantoaxial joint degeneration, so CT is not only sensitive to bone structure, but also can accurately display the changes of ligaments. Conclusion: Ct findings of atlantoaxial joint degeneration reflect its pathological process. To provide valuable information for clinical treatment.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R681.5;R816.8

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