基于中老年MRI腰椎椎基静脉孔的影像解剖学研究

doi:10.13418/j.issn.1001-165x.2024.2.05

中国临床解剖学杂志 ›› 2024, Vol. 42 ›› Issue (2): 140-144.doi: 10.13418/j.issn.1001-165x.2024.2.05

基于中老年MRI腰椎椎基静脉孔的影像解剖学研究

卓航¹，周泽霖¹，邬裕²，龚焱¹，宋泽峰³，颜先伟¹，沈姿¹，
卢国樑²，梁德^4,5，江晓兵⁶，余翔^4,5*

1.广州中医药大学第一临床医学院，广州 510405； 2.广州中医药大学东莞医院, 广东东莞 523000； 3.大连理工大学医学部，辽宁大连 116081； 4.广州中医药大学第一附属医院，广州 510405； 5.广东省中医临床研究院，广州 510405； 6.广州医科大学附属第二医院脊柱外科，广州 510260

收稿日期:2023-04-06 出版日期:2024-03-25 发布日期:2024-04-22
作者简介:卓航（1999-），男，浙江诸暨人，在读硕士研究生，研究方向：脊柱外科，E-mail：740761799@qq.com
基金资助:
国家自然科学基金项目（82305264）；广州市科协青年科技人才托举项目（QT-2023-022）；广州市科技市校（院）联合资助（登峰医院）基础研究项目（202201020307）；广州市科技基础与应用基础研究专题（青年博士“启航”项目 2024A04J4331）；广州中医药大学第一附属医院中青年骨干人才培育项目-青优人才（2023QY13）

Anatomical parameter analysis of lumbar basivertebral foramen in middle-aged and elderly based on MRI

Zhuo Hang¹, Zhou Zelin¹, Wu Yu², Gong Yan¹, Song Zefeng³, Yan Xianwei¹, Shen Zi¹, Lu Guoliang², Liang De^4,5, Jiang Xiaobing⁶, Yu Xiang^4,5*

1.The First Clinical Medical School of Guangzhou University of Chinese Medicine，Guangzhou 510405，China; 2.Dongguan Hospital, Guangzhou University of Chinese Medicine，Dongguan 523000，China; 3.Medical Department Dalian University of Technology, Dalian 116024, China；4.The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine，Guangzhou 510405，China; 5. Guangdong Clinical Research Institute of Traditional Chinese Medicine, Guangzhou 510405, China; 6.Department of Spine Surgery, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, China

Received:2023-04-06 Online:2024-03-25 Published:2024-04-22

摘要/Abstract

摘要： 目的基于中老年腰椎矢状面MRI测量椎基静脉孔（basivertebral foramen，BF）的解剖学参数，为相关手术提供解剖学依据。方法回顾2018年2月至2022年12月广州中医药大学第一附属医院43例成年患者，共计172例椎体的腰椎矢状面MRI，使用PACS影像系统测量L1~L4 BF的深（basivertebral foramen depth，BFD）、BF的高（basivertebral foramen height，BFH）、椎体宽（vertebra width，VW）、椎基静脉孔上端至上终板距离（the upper end of BF between the upper boundary and the endplate，VH1）以及椎基静脉孔下端至下终板距离（the lower end of BF between the lower boundary and the endplate，VH2），计算BFD与VW的比值BFD/VW以及BFH与椎体高（vertebra height，VH）的比值BFH/VH。结果在STIR序列中，L1椎体BFD（3.93±1.58）mm低于L3（5.26±2.34）mm与L4（5.82±2.99）mm，有统计学意义（P<0.05）；L1椎体BFD/VW（0.12±0.05）与L4（0.17±0.09）对比有统计学意义（P<0.05），且L1~L4的BFD/VW组间对比有统计学差异（P<0.05），各椎体的BFH/VH对比无统计学意义（P>0.05）。男性与女性对比，T2WI序列中L3椎体BFH男性（7.95±2.84）mm高于女性（6.30±1.93）mm，有统计学意义（P<0.05）。随着椎体序列的增长，BFD呈现逐渐增加的趋势，在STIR序列中更加明显。而BFH随椎体序列增加无明显起伏。结论中老年MRI矢状位STIR序列可作为其BF的临床测量标准，为腰椎手术方案的选择提供解剖学依据。

关键词: 腰椎, , , 椎基静脉孔, , , MRI, , , 数字化测量, , , 解剖学

Abstract: Objective To provide further anatomical basis for lumbar vertebra operations by measuring anatomical parameters of lumbar vertebra basivertebral foramen (BF) based on sagittal MRI images. Methods Sagittal MRI images of 172 vertebral bodies of 43 adult patients admitted to the First Affiliated Hospital of Guangzhou University of Chinese Medicine and Dongguan Hospital of Guangzhou University of Chinese Medicine from February 2018 to December 2022 were retrospectively analyzed. The PACS imaging system was used to measure the BF depth (BFD), BF height (BFH), Vertebral width (VW), the upper end of BF between the upper boundary and the endplate (VH1), the lower end of BF between the lower boundary and the endplate (VH2), and calculate the ratio of BFD to vertebral body width (BFD/VW) and the ratio of BFH to vertebral body height (BFH/VH). Results After comparing lumbar vertebrae, the STIR sequence showed that BFD (3.93±1.58mm) of L1 vertebrae was lower than BFD of L3 (5.26±2.34) mm and BFD of L4 (5.82±2.99) mm，which was statistically significant (P<0.05). Also in the STIR sequence, BFD/VW of L1(0.12±0.05) was lower than that of BFD/VW of L4(0.17±0.09) (P<0.05). Moreover, there were statistical differences in the comparison of BFD/VW in L1-L4 among the four groups (P<0.05). There was no statistical significance in the BFH/VH of each vertebral body (P>0.05). In the comparison between male and female, BFH of male L3(7.95±2.84) mm was higher than that of female L3(6.30±1.93) mm on T2WI, which was statistically significant (P<0.05). With the increasing of the vertebrae sequence, BFD showed a gradually increasing trend, and it was more obvious in the STIR sequence. BFH had no obvious fluctuation with the increasing of vertebral body sequence. Conclusions STIR sequence in sagittal MRI image can be used as the clinical measurement standard of BF in middle-aged and elderly patients, which providing anatomical reference for the selection of lumbar surgical treatment.

Key words: Lumbar vertebra, , , Basivertebral foramen, , , MRI, , , Digital measurement, , , Anatomy

中图分类号:

R687.3

卓航, 周泽霖, 邬裕, 龚焱, 宋泽峰, 颜先伟, 沈姿, 卢国樑, 梁德, 江晓兵, 余翔. 基于中老年MRI腰椎椎基静脉孔的影像解剖学研究[J]. 中国临床解剖学杂志, 2024, 42(2): 140-144.

Zhuo Hang, Zhou Zelin, Wu Yu, Gong Yan, Song Zefeng, Yan Xianwei, Shen Zi, Lu Guoliang, Liang De, Jiang Xiaobing, Yu Xiang. Anatomical parameter analysis of lumbar basivertebral foramen in middle-aged and elderly based on MRI[J]. Chinese Journal of Clinical Anatomy, 2024, 42(2): 140-144.

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基于中老年MRI腰椎椎基静脉孔的影像解剖学研究

Anatomical parameter analysis of lumbar basivertebral foramen in middle-aged and elderly based on MRI

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