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目的:对颈椎间盘突出MR影像分型并对其临床表现进行分析,探讨其诊断价值。材料与方法:回顾性分析1000例颈椎间盘突出患者的MR图像及临床资料,男682例(682/1000=68.2%),女318例(318/1000=31.8%),年龄18-68岁(47.38±3.52岁),对突出颈椎间盘进行MR分型,同时分析其与临床症状的相关性。结果:1中央型突出48例(48/1000=4.8%),可见突出间盘位于后部正中,硬膜囊或脊髓受压;临床以颈髓受压为主要表现的42例(42/48=87.5%);2外侧型突出126例(126/1000=12.6%),间盘后部正中偏侧突出,相应神经根受压;临床以根性痛为主的118(118/126=93.6%);3远外侧型突出122例(122/1000=12.2%),间盘旁侧突出,神经根或硬膜囊受压,临床不同程度单侧脊髓受压症状98例(98/122=80.3%),即Brown-Sequard综合征;4垂直型突出658例(658/1000=65.8%),可见椎体上/下缘见弧形低信号压迹,周边可见环绕反应性骨髓的高信号;5混合型46例(46/1000=4.6%);4及5型临床症状表现较为混杂,或无临床症状。结论:颈椎间盘突出MRI分型有助于临床对该病的诊断及治疗。
Objective: To classify MR imaging of cervical disc herniation and analyze its clinical manifestations, and to explore its diagnostic value. Materials and Methods: MR images and clinical data of 1000 patients with cervical disc herniation were retrospectively analyzed. There were 682 (682/1000 = 68.2%) men and 318 women (318.1000 = 31.8%) women aged 18-68 years 47.38 ± 3.52 years). MR typing was performed on the prominence cervical intervertebral disc and its correlation with clinical symptoms was also analyzed. Results: (1) 48 cases (48/1000 = 4.8%) were prominent in central type. The prominent disc was located in the posterior median and the dural sac or spinal cord was compressed. The main clinical manifestations of spinal cord compression were 42 cases (42/48 = 87.5%). There were 126 cases (126/1000 = 12.6%) of the lateral protrusion, the middle of the posterior part of the disc protruded sideward and the corresponding nerve roots were compressed. 118 (126 / 93.6% ); 3, 122 cases (122/1000 = 12.2%) were prominent in the lateral type, and the flanks of the intervertebral discs protruded and the nerve roots or dural sac compressed. There were 98 cases (98/122 = 80.3 %), That is, Brown-Sequard syndrome; 4 vertical 658 cases (658/1000 = 65.8%), visible vertebral upper / lower edge see the arc low signal pressure traces around the surrounding reactive bone marrow visible high signal; 5 mixed 46 cases (46/1000 = 4.6%); 4 and 5 clinical symptoms were more mixed, or no clinical symptoms. Conclusion: MRI classification of cervical disc herniation is helpful to the clinical diagnosis and treatment of the disease.