摘要
目的:探讨颈椎病MRI表现与非手术治疗疗效的关系。方法:对36例非手术治疗的颈椎病患者进行MRI检查及治疗前后JOA评分,分析颈椎病MRI的表现与非手术治疗近期疗效的关系。结果:单纯颈椎椎间盘膨出和/或突出16例,治疗前JOA评分平均(11.6±4.3)分,治疗后评分平均(16.6±0.7)分,治疗优良率100%(16/16)。合并颈椎椎管狭窄及脊髓受压、变性20例,治疗前JOA评分平均(12.7±1.9)分,治疗后评分平均(16.4±1.1)分,治疗优良率100%(20/20)。结论:非手术治疗对单纯颈椎椎间盘突出或膨出及合并颈椎椎管狭窄及脊髓受压、变性的颈椎病均有较好的近期疗效,颈椎病的MRI表现与非手术治疗的疗效无明显关联,说明颈椎椎管内的机械压迫因素不是造成颈椎病临床症状、体征的主要因素。因此,颈椎病MRI表现不能成为选择治疗方法的主要依据,而应以临床症状、体征作为选择治疗方法的主要依据。
Objective: To approach the relations of MRI manifestations and curative effect of nonoperative treatment on cervical syndrome.Methods: 36 cases of patients,with cervical syndrome,cured by nonoperative treatments,were checked by magnetic resonance imaging(MRI) and given marks of JOA prior and post-treatments.Relations of MRI manifestations and curative effect of nonoperative treatment in the near future were analyzed.Results: It showed that the count on single bulge and/or hernia of intervertebral disc of cervical vertebra was 16,JOA scores of prior and post-treatments were averagely(11.6±4.3)and(16.6±0.7) respectively,fine rate of treatment was 100%(16/16).Patients combining with spinal stenosis on cervical vertebra and spinal cord compression,denaturation were 20 cases,and the scores were(12.7±1.9) and(16.4±1.1) respectively,the rate was 100%(20/20) too.Conclusion: It indicated that nonoperative treatments had better curative effect in the near future on single bulge and/or hernia intervertebral disc of cervical vertebra and combining with spinal stenosis of cervical vertebra and spinal cord compression,denaturation on cervical syndrome.There had no obvious relations between MRI manifestations and curative effect of nonoperative treatment.Factor of mechanical pressure in cervical vertebrae canal was not the main one to cause clinical symptom and symptoms.So the mainstay to choose treatments was not MRI manifestations of cervical syndrome,but clinical symptom and symptoms.
出处
《中医正骨》
2008年第2期7-8,共2页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
颈椎病/治疗
MRI
疗效评价
临床研究
Cervical syndrome/therapy,MRI,curative effect evaluation,clinical research.
