突出腰椎间盘与相邻椎间盘终板退变程度的MRI影像学分析
Chinese Journal of Trauma and Disability Medicine（2021）
Abstract
目的:探讨腰椎间盘突出症患者突出椎间盘与相邻椎间盘终板退变程度的MRI影像学表现.方法:选择本院2018年10月-2020年5月期间收治的60例腰椎间盘突出症患者作为资料,均行MRI平扫检查,观察L4-5/L5-S1节段突出椎间盘处,采用Pfirrmann分级标准及Pappou分级标准评价相邻椎间盘、软骨终板退变程度.结果:L4-5节段椎间盘及软骨终板形态退变程度严重,评分显著高于相邻L3-4节段、L5-S1节段,且L3-4节段退变程度评分显著高于节段L5-S1,P<0.05;L5-S1节段椎间盘及软骨终板形态退变程度严重,评分显著高于相邻L4-5节段,P<0.05.结论:MRI影像检查腰椎间盘突出症可发现突出椎间盘,准确评估相邻椎间盘的退变程度,其中相邻上位椎间盘较下位椎间盘退变程度更加严重,为腰椎间盘突出症的诊断及治疗提供可靠依据.
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