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常规MRI在创伤性脊髓损伤预后评估中的研究进展

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创伤性脊髓损伤(TSCI)常由直接的机械性损伤引起,是一种严重的致残性疾病.临床上常借助常规脊髓MRI对脊髓损伤(SCI)严重程度进行评估,所以探讨常规MRI在TSCI中的全面应用进展是非常必要的.MRI可显示TSCI不同时期的变化,急性期MRI能显示脊髓水肿和出血范围,在亚急性期,随着水肿和出血的消退,MRI指标可能对损伤严重程度诊断和预后预测有更大价值;而慢性期MRI能够观察TS-CI 后脊髓和脑内的萎缩情况.本文回顾近几年相关文献,对TSCI在MRI上的信号表现及MRI对评估神经功能缺损和预测恢复的价值进行阐述,以期为TSCI患者的诊疗和康复及未来研究方向提供建议.
Research progress of conventional MRI in prognostic assessment of traumatic spinal cord in-juries
Traumatic spinal cord injury(TSCI)is often caused by direct mechanical injury and is a serious disabling disease.In clinical practice,conventional spinal cord MRI is mostly used to evaluate the severity of spinal cord injuries(SCI),but its comprehensive application in TSCI also deserves exploration.MRI can show the changes in different stages of TSCI.In the acute stage of TSCI,MRI can show the extent of spinal cord edema and bleeding;in the subacute stage,with the subsiding of edema and bleeding,MRI indicators may have greater value for injury se-verity diagnosis and outcome prediction;while in the chronic stage,MRI can reveal the atrophy of the spinal cord and brain.This paper reviews the relevant literature in recent years,and explains the signal performance of TSCI on MRI and the value of MRI in assessing neurological deficits and predicting recovery following TSCI,to provide sug-gestions for the diagnosis,treatment,rehabilitation,and future research directions of TSCI patients.

Traumatic spinal cord injuriesMRIClinical assessmentOutcome prediction

关珍珍、张东晓、卢旭华

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上海理工大学健康科学与工程学院,上海 200093

上海长征医院骨创伤外科,上海 200003

创伤性脊髓损伤 MRI 临床评估 结局预测

海军军医大学第二附属医院临床研究项目

2023YJBF-PY04

2024

创伤外科杂志
第三军医大学,大坪医院,野战外科研究所

创伤外科杂志

CSTPCD
影响因子:1.017
ISSN:1009-4237
年,卷(期):2024.26(8)