颈椎Modic改变与轴性疼痛的关系
Journal Title: Di-er Junyi Daxue Xuebao - Year 2008, Vol 29, Issue 10
Abstract
目的:探讨颈椎病患者椎体终板Modic改变的发病情况及临床价值。方法:回顾分析136例颈椎病患者的颈椎MRI矢状位图像资料,记录椎体终板Modic改变的发生率、类型、各节段分布及各分布节段类型,统计并分析Modic改变与颈部轴性疼痛的关系。结果:136例颈椎病患者中有23例存在Modic改变,发生率为16.9%；男性患者中发生率为17.7%,女性为15%；最常出现Modic改变的节段为C5/6；Modic Ⅰ型、Ⅱ型和Ⅲ型的发生率分别为4.4%、7.4%、5.1%。存在Modic改变的患者中,轴性疼痛发生率为56.5%,术后缓解率为76.9%；无Modic改变者轴性疼痛的发生率为20.4%,术后缓解率为73.9%,两者轴性疼痛发生率有显著性差异(P<0.05),术后缓解率无统计学差异(P>0.05)。Modic改变Ⅰ、Ⅱ、Ⅲ型患者中轴性疼痛发生率分别为83.3%、60%和28.6%,术后缓解率分别为100%、66.7%和50%；Modic改变Ⅰ型患者轴性疼痛发生率和术后缓解率均较其他两型为高(P<0.05)。结论:颈椎病患者中Modic改变以Ⅱ型最多,以C5/6节段最为常见。Modic改变患者轴性疼痛发生率较高,其中以Modic Ⅰ型为著。
Authors and Affiliations
Xin-wei WANG, Jun-jun TANG, Wen YUAN, Tao GU, Zhu HAN, Ying ZHANG, Qiu-shui LIN
Keywords
Related Articles
- EP ID EP82928
- DOI -
- Views 144
- Downloads 0
不同价态饮水砷暴露对小鼠肝脏的损伤作用
目的：比较不同价态的饮水砷暴露对小鼠肝脏的损伤作用，探讨其可能的损伤机制。方法：60只雄性昆明种小鼠随机分为对照组（饮用蒸馏水）、300 mg/L iAs3+暴露组（iAs3+组）和300 mg/L iAs5+暴露组（iAs5+组），饮水砷暴露10个月后处死小鼠...
Changes of P2X3 receptor expression in dorsal root ganglia in a rat model of bone cancer pain
Objective:To observe the immunoreactive changes of P2X3 receptor and examine P2X3 receptor mRNA level in the dorsal root ganglia (DRG) in a rat model of bone cancer pain. Methods: Sixty female Wistar rats, weighing 150-2...
MRI and SPECT in evaluating myocardial ischemia and necrosis in patients with coronary artery disease: a comparative study
Objective：To assess the value of MRI and single photon emission computed tomography (SPECT) in detecting myocardial ischemia and necrosis. Methods: Coronary angiography (CAG), MRI and SPECT were performed in 28 patients...
99mTc-MIBI myocardial perfusion image in predicting therapeutic effect of percutaneous coronary intervention
Objective：To observe the 99mTc-MIBI myocardial perfusion images in patients with myocardial infarction before/after percutaneous coronary intervention (PCI),so as to screen for the reliable predictors for the therapeuti...
Diagnosis and treatment of unsuspected gallbladder carcinoma
Objective：To summarize our experience on the diagnosis and treatment of unsuspected gallbladder carcinoma (UGC)．Methods: The clinical data of 15 patients with AGC,who were treated in our hospital from January 2000 to D...