MRI在诊断穿破后纵韧带的颈椎间盘突出中的价值及临床意义

Value and clinical significance of MRI in noncontained cervical disc herniation

目的探讨颈椎间盘突出穿破后纵韧带的MRI特点。方法对54例颈椎间盘突出症的MRI特点进行回顾性分析。结果颈椎间盘突出穿破后纵韧带的病人,椎体及间盘后方的低信号条状影(Blackline)中断者占87.5%(21/24);而未穿破后纵韧带组,仅3.3%(1/30)的病人出现低信号条状影中断。结论根据影像学(MRI)特点,术前可对破裂型颈椎间盘突出症作出诊断,对治疗方法的选择具有重要意义。

[Objective]To study the characteristics of MRI in noncontained cervical disc herniation. The 54 cervical disc herniation patients confirmed through surgery were retrospectively reviewed to determine the characteristics of MRI. In the noncontained group, 87.5% were found focal interruption of the black line in MRI; in non-contained group only 3.3% were found interruption of the black line in MRI. [Conclusion] Based on the characteristics of MRI, we can make a diagnosis of noncontained cervical disc herniation, it is significant for choosing the methods of treatment.