Hoffmann征对脊髓型颈椎病的早期诊断价值.docVIP

Hoffmann征对脊髓型颈椎病的早期诊断价值 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：Hoffmann征对脊髓型颈椎病的早期诊断价值 1 1 资料与方法 3 2 结果 4 文2：脊髓型颈椎病的早期诊断及治疗临床医学论文 7 1 临床资料 8 2 结果 10 3 讨论 10 参考文摘引言： 12 原创性声明（模板） 13 文章致谢（模板） 13 正文 Hoffmann征对脊髓型颈椎病的早期诊断价值 文1：Hoffmann征对脊髓型颈椎病的早期诊断价值 [Abstract] Objective To investigate the value of Hoffmann sign in the early diagnosis of cervical myelopathy. Methods 150 patients who were treated in the department of spinal surgery of our hospital as well as 80 healthy people examined in the center of medical examination from April to July 2014 were retrospectively analyzed. The complaints of patients of clinics were all related with the spine （defined as symptom group）， the pathological sig of the patients were recorded and the imaging materials like magnetic resonance were to be collected for the patients who were diagnosed as cervical myelopathy. No symptoms were presented in the healthy people（defined as non-symptom group）， and follow-ups were performed to the healthy people. The number of patients who developed into cervical myelopathy after 1 year was observed and the pathological sig of their physical examination were also recorded. The occurrence rate of pathological sig especially Hoffmann sign were statistically analyzed of the patients from both groups. Results Positive Hofmann sig were presented at % patients from symptom group and % of the patients from non-symptom group， with the Youden index was respectively and ； the area under characteristic curve of symptom group was ， P=， P=， with statistically significant difference. The value of apparent diffusion coefficient was increased while the value of fractional anisotropy was decreased for the patients with positive Hoffmann sign. Conclusion Hoffmann sign has some value in the screening of cervical myelopathy， however it cannot separately diagnose cervical myelopathy taking place of symptoms， body sig and imaging examinatio. In result， for the patients presenting positive Hoff