目的 评估颈椎椎旁肌退变与颈椎退行性改变之间的相关性.方法 回顾性分析2019年10月至2021年6月因颈部疼痛或根性症状至郑州大学第一附属医院就诊的147例患者,其中男51例,女96例,年龄18～79[50.00(40.00,55.00)]岁.通过Image J软件测量MRI图像中C3～6椎体水平椎管的前后径(AP)、浅层颈伸肌横截面积(SEA)、深层颈伸肌横截面积(DEA)、椎体横截面积(VBA)以及脂肪浸润率(FIR).通过影像归档和通信系统(PACS)在MRI图像上评估C3～6层面椎间盘的退变分级及Modic改变.采用Spearman相关性分析对颈伸肌退变与颈椎退行性改变的关联性进行分析.结果 C3～4节段的AP与C3～6水平的DEA/VBA比值(r=0.168,r=0.216,r=0.223,r=0.232)具有相关性;Modic改变与椎旁肌参数无相关性;颈椎间盘退变在C4～5节段与C3～6水平的颈深伸肌群FIR(r=0.168,r=0.234,r=0.251,r=0.211)具有相关性,C4～5节段与 C3～6水平的颈浅伸肌群 FIR(r=0.234,r=0.273,r=0.307,r=0.209)具有相关性,C6～7节段与C3～6水平的颈浅伸肌群FIR(r=0.291,r=0.261,r=0.256,r=0.253)具有相关性.结论 颈椎椎旁肌退变与颈椎退行性改变之间存在相关性.

目的 研究骨质疏松与腰椎间盘退变之间的关系.方法 回顾性收集2019年10月至2021年3月于郑州大学第一附属医院骨科就诊的258例腰腿痛患者的资料.测量患者腰椎常规平扫CT及磁共振影像资料数据.根据患者L1椎体的平均CT值进行分组,CT值>160 HU为骨量正常组(85例),CT值为100～160 HU为骨量减少组(91例),CT值<100 HU为骨质疏松组(82例).使用Pfirrmann分级系统对腰椎间盘退变进行评分.用Spearman相关性分析椎体CT值与腰椎间盘退变的相关性.结果 除L2/3节段外,其余节段腰椎间盘退变评分组间比较差异有统计学意义(P<0.05);除L2/3节段外,骨质疏松组腰椎间盘退变评分高于骨量正常组和骨量减少组(P<0.05);骨量减少组腰椎间盘退变评分与骨量正常组比较,差异无统计学意义(P>0.05).L1/2、L3/4、L4/5、L5/S1及L1～S1椎间盘退变评分均与L1 CT值呈负相关(P<0.05).结论 骨质疏松与腰椎间盘退变具有正性相关的关系.

[目的]分析颈后路单开门椎板成形术后颈伸肌(neck extensor muscle,NEM)与颈椎矢状位参数变化,探讨术后NEM萎缩与颈椎矢状位参数变化的相关性.[方法]2015年1月—2019年7月于本院行颈后路单开门椎板成形术的患者共128例,于术前、术后1周,术后1、2年行影像检查,测量C2-7Cobb角、C2-7SVA、T,斜率,以及NEM的丰度(SEA/VBA和DEA/VBA)及脂肪变性率.并进行相关分析.[结果]随时间推移,C2-7SVA、C2-7Cobb角、T1S,以及SEA/VBA、DEA/VBA和脂肪含量均显曲线变化,各时间点间差异均有统计学意义(P＜0.05).Spearman相关分析表明,SEA/VBA和DEA/VBA均与C2-7 Cobb角的变化呈正相关(P＜0.05).NEM脂肪含量与C2-7Cobb角的变化呈负相关(P＜0.05).C7T1的NEM脂肪含量与T1S的变化呈正相关(P＜0.05).[结论]颈后路单开门椎板成形术后颈椎出现后凸改变的趋势,NEM萎缩与颈椎矢状位参数的变化具有相关性.

目的 观察综合性护理干预在腹腔镜前列腺癌根治术患者中的应用效果.方法 选取我院2016年3月至2019年3月期间收治的80例行腹腔镜前列腺癌根治术患者,随机分为2组,每组40例.对照组给予常规护理,试验组给予综合性护理干预,比较2组情绪变化、术后并发症发生情况.结果 试验组和对照组综合性护理干预后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均明显低于干预前(P均＜0.05).综合性护理干预后,试验组SAS评分、SDS评分均明显低于对照组(P均＜0.05).试验组术后并发症总发生率明显低于对照组(P＜0.05).结论 综合性护理干预明显缓解了腹腔镜前列腺癌根治术患者的焦虑和抑郁等负性情绪,并减少了术后并发症的发生,促进患者快速康复.

Objective:Study the ideal entry point and angle of children atlas pedicle screw.Methods:Select children aged 2-6 years who underwent 64-slice CT scan of cervical spine at the First Affiliated Hospital of Zhengzhou University from January 2017 to June 2020. A total of 153 children meet the standard, 23-45 in each age group, an average of 30, children who meet the requirements are divided into two groups according to gender, male ( n=100), female n=53). The clearance width of atlas pedicle screw on both sides was measured at different inclination angles. The length of the pedicle screw path, the horizontal distance from the entry point to the intersection of the lateral mass and the inner edge of the posterior arch, and the Angle of inclination were measured when the clearance width was used to the maximum. Student T test was used to analyze whether the gender difference was statistically significant. Results:When the Angle of the screw path is parallel to the straight line where the bow intersects the front and rear, the clearance width of the screw can be maximum (8.02±1.06) mm. The length of the nail path is (24.75±3.34) mm when the path is parallel with the connecting line between the side block and the intersection point of the front and rear arches. The distance between the entry point and the intersection point of the side block and the inner edge of the rear arch was (5.70±1.10) mm, and the optimal Angle of inclination was (20.93±3.07)°. There is no statistical difference in the measurement of atlas parameters of children of different genders( P>0.05). Conclusion:Atlas pedicle screw in children under 6 years of age. It is safe and feasible to select the point (5.70±1.10) mm outwards from the intersection point of the lateral block and the inner edge of the posterior arch as the vertical line, and the point of intersection with the horizontal midline of the posterior arch as the entry point. When the Angle of the entry passage was parallel to the straight line of the intersection point of the anterior and posterior arches (20.93±3.07)°, it was the best Angle for children to be fixed with atlas pedicle screw.