Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (22): 3532-3536.doi: 10.3969/j.issn.2095-4344.2014.22.016
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Zhang Bin, Wu Guang-zhong, Wu Peng
Revised:
2014-03-31
Online:
2014-05-28
Published:
2014-05-28
Contact:
Wu Guang-zhong, Technician-in-charge, Imaging Center, First Affiliated Hospital, Hebei North University, Zhangjiakou 075000, Hebei Province, China
About author:
Zhang Bin, Master, Physician, Imaging Center, First Affiliated Hospital, Hebei North University, Zhangjiakou 075000, Hebei Province, China
CLC Number:
Zhang Bin, Wu Guang-zhong, Wu Peng. Wedging index of thoracolumbar vertebrae in healthy persons measured by magnetic resonance imaging[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(22): 3532-3536.
2.1 正常人群胸腰段椎体的MRI表现 所有被测量者MRI图像上均未发现椎体出现异常信号改变及压缩骨折,符合入选标准,共测量1 920次。实验共测量480个椎体,楔形变椎体452个(94.2%),其中骨髓脂肪化349个(72.7%)。测量T11-L2椎体存在楔形变的椎体个数分别为103个(23.5%)、112个(25.5%)、115个(26.3%)、108个(24.7%)。经测量T11-L2椎体楔变指数在0.71-1.0之间变化,其中L1椎体楔变指数平均值最小(表1)。37名测量者中T11-L2节段间盘存在退变,共111个椎间盘;13名存在椎间盘突出,共计26个椎间盘(图1);7名存在Schmorl’s结节;6名存在终板不规则。 2.2 年龄、性别、劳动强度及体质量指数对楔变指数的影响 经测量各年龄组间楔变指数之间差异无显著性意义,但年龄较大者楔变指数较小,男性志愿者T12、L2楔变指数(0.90,0.89)小于女性志愿者(0.92,0.91)(表2)。其中重体力劳动者(建筑工人、农民)T11、T12楔变指数(0.88,0.88)小于非重体力劳动者(其他职业志愿者)(0.91,0.91)(表3)。 楔变指数在椎间盘退变或/和突出志愿者中与椎间盘正常者中无明显差异(表4)。研究显示,终板异常及Schmorl’s结节志愿者相关节段椎体楔变指数平均值小于无终板异常、无Schmorl’s结节者,并且显示体质量指数与楔变指数存在负相关性(表5)。"
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