Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (3): 432-437.doi: 10.3969/j.issn.2095-4344.0043
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Li Wen-xuan1, Yu Bao-long1, Zhang Pei1, Li Rui-feng1, Jia Yan-bo2
Online:
2018-01-28
Published:
2018-01-28
Contact:
Zhang Pei, Chief physician, Professor, Master’s supervisor, Department of Cervical Spine Surgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China
About author:
Li Wen-xuan, Master, Attending physician, Department of Cervical Spine Surgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China
Yu Bao-long, Master, Attending physician, Department of Cervical Spine Surgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China
Li Wen-xuan and
Yu Bao-long contributed equally to this work.
Supported by:
the Natural Science Foundation of Inner Mongolia Autonomous Region, No. 2015MS0895
CLC Number:
Li Wen-xuan, Yu Bao-long, Zhang Pei, Li Rui-feng, Jia Yan-bo. Distribution of Modic changes and its relationship with cervical degeneration in patients with neck and shoulder pain[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(3): 432-437.
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2.2 Modic改变的发生率及节段分布 430例2 150个椎间盘中共有67例(15.6%)348个(16.2%)椎间盘节段发生Modic改变,其中Ⅰ型73个(3.4%),Ⅱ型243个(11.3%),Ⅲ型32个(1.5%)。应用多组频数分布的卡方检验,各组间差异有显著性意义(χ2=34.39,P < 0.01),Modic改变最好发于C5/6节段,见表1。 2.3 Modic改变在不同年龄中的分布 应用多组频数分布的卡方检验,Modic改变的发生率在10-39岁3组间差异无显著性意义(χ2=0.55,P > 0.05),在40-79岁4组间差异亦无显著性意义(χ2=6.98,P > 0.05);10-39岁的3组和40-79岁的4组间发生率差异有显著性意义(χ2=22.21,P < 0.01),Modic改变在40岁以上多见,见表2。 2.4 Modic改变的性别分布特点 本组430例患者中男性223例,Modic改变阳性者39例,女性207例,Modic改变阳性者28例,应用卡方检验,Modic改变在不同性别间的发生率差异无显著性意义(χ2=1.28,P > 0.05)。 2.5 Modic改变与间盘退变的关系 应用多组频数分布的卡方检验,Pfirrmann间盘退变Ⅰ级和Ⅱ级2组间发生率的差异无显著性意义(χ2=0.42,P > 0.05),Ⅲ级至Ⅴ级3组间差异亦无显著性意义(χ2=2.87,P > 0.05),Ⅰ、Ⅱ级2组和Ⅲ-Ⅴ级3组间差异有显著性意义(χ2=73.02,P < 0.01),Modic改变好发于Pfirrmann间盘退变Ⅲ期及以上的间盘节段,见表3。 2.6 Modic改变与颈椎后方小关节退变的关系 应用完全随机设计下多组频数分布的χ2检验,颈椎Modic各期改变与Miyazaki小关节退变分级之间无相关性(χ2=4.91,P > 0.05),见表4。 "
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