不同年龄人群腰段脊柱超声成像的差异
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The difference of vertebral column ultrasound imaging in different age groups
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    摘要:

    目的:观察不同年龄人群腰段脊柱的超声图像,探讨不同年龄人群腰段脊柱相关结构超声成像特点-方法:122例被检者根据年龄分为4组,分别为青少年组(Ⅰ组,12~18岁)-青年组(Ⅱ组,19~39岁)-中年组(Ⅲ组,40~59岁)和老年组(Ⅳ组,≥60岁)- 采用旁正中法纵切面采集腰3-4椎间隙-硬膜外间隙-韧带-马尾等相关解剖结构超声图像,并对图像进行分级评分-结果:总超声评分:Ⅰ组(24.8 ± 1.6)分;Ⅱ组(18.5 ± 4.8)分;Ⅲ组(14.0 ± 2.8)分;Ⅳ组(10.3 ± 2.9)分,随年龄增长,成像评分明显下降,各组间有显著差异(P < 0.01)-具体解剖结构超声评分:青少年组-青年组与中年组和老年组各解剖结构超声成像评分差异显著(P < 0.01);中年组与老年组椎板-黄韧带-椎间隙-后硬脑膜-硬膜外间隙和马尾搏动超声成像评分无差异(P > 0.05),而鞘膜腔-马尾和前硬脑膜及后纵韧带复合体老年组评分低于中年组(P < 0.05)-结论:不同年龄人群腰段脊柱超声成像差异明显,随年龄增长超声成像质量明显下降;中年组与老年组超声成像质量差异较小,部分结构无差别-

    Abstract:

    Objective:To observe the ultrasound imaging of crowd lumbar spinal at the different ages. Methods:Ultrasound imaging of vertebral column were performed in 122 healthy men who were divided into four groups based on age,teenagers group(groupⅠ,12 ~ 18 y),youth group (groupⅡ,19 ~ 39 y),middle-aged group (groupⅢ,40 ~ 59 y ) and the elderly group (groupⅣ,≥ 60y). A longitudinal paramedian scan of the lumbar spine was performed to locate the L3/L4 lumbar interspace and acquire ultrasound imaging include ligamentum flavum,epidural space,posterior dura,intrathecal space,cauda equine,pulsations of the cauda equina and other related neuraxial structures. A four point numerical scales classification was used to evaluate the image quality after scanning. Results:Total ultrasound visibility score were (24.8 ± 1.6) score of group Ⅰ;(18.5 ± 4.8) score of group Ⅱ;(14.0 ± 2.8) score of group Ⅲ;(10.3 ± 2.9) score of group Ⅳ. There were significant differences among 4 groups (P < 0.01) . With age increasd,imaging score decreased obviously. No difference existed in the ultrasonic imaging score of ligamentum flavum,interlaminar space,posterior dura,epidural space and pulsations of the cauda equina between group Ⅲ and group Ⅳ(P > 0.05),but scores of intrathecal space,cauda equina,equina,and anterior dura-posterior longitudinal ligament complex in group Ⅳ were lower than those of group Ⅲ(P < 0.05). Conclusion:There are significant differences in ultrasound imaging of vertebral column among different age groups. With the age growth,ultrasonic imaging quality decreased obviously. The ultrasonic imaging quality differences were not significant between middle age group and old group,and there is no obvious difference in partial structures between these two group.

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喻 玲,王亚丽,胡建群.不同年龄人群腰段脊柱超声成像的差异[J].南京医科大学学报(自然科学版),2011,(8):1227-1230

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  • 收稿日期:2011-03-27
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