摘要
目的:探讨颈椎生理曲度异常对颈椎病发病的作用,为颈椎病的临床诊治提供思路。方法:研究设颈椎病和无颈椎病两组,其中颈椎病组(来源于2006年3月至2008年12月曙光医院骨伤科门诊患者)333例,男119例,女214例;平均年龄(48.11±12.21)岁。无颈椎病组受试者73例(来源于上海中医药大学在校大学生、曙光医院研究生及进修生、部分社区人员),男18例,女55例;平均年龄(45.99±11.47)岁。对两组受试者的颈椎侧位X线片进行颈椎生理曲度观测,比较两组中颈椎生理曲度异常的发生率的差异性,并对两组颈椎生理曲度异常改变的临床特点进行分析。结果:与无颈椎病组相比,颈椎病组患者颈椎生理曲度异常发生率高达95.50%(318/333),二者之间具有统计学差异(P=0.000<0.01);且颈椎病组颈椎生理曲度异常形式较复杂和多样化,其中颈椎生理曲度减小占23.12%(77/333),变直占40.84%(136/333),增大占0.60%(2/333),反弓占12.01%(40/333),S形占4.20%(14/333),反S形占2.70%(9/333),上曲下直(以C4为分界点)占4.50%(15/333),上直下曲(以C4为分界点)占7.51%(25/333)。结论:颈椎生理曲度异常是各型颈椎病早期X线征象,且颈椎生理曲度异常形式较复杂和多样化,临床不能笼统称之为"颈椎生理曲度异常",而应重视颈椎生理曲度异常分型的研究,这将对颈椎病的临床诊治具有指导意义。
Objective：To explore the relationship between the abnormality curvature of cervical spine and pathogenesy of cervical spondylosis,in order to provide a new way in diagnosis of cervical spondylosis. Methods：There were two groups in the study,which were non cervical spondylosis group （with heath adults）and cervical spondylosis group. From March 2006 to December 2008,333 patients （out patients in department of orthopaedics of Shuguang hospital） in cervical spondylosis group, which were 119 males,214 females with an average age of （48.11±12.21） years. There were 73 subjects in non cervical spondylosis group,which was 18 males,55 females with an average age of （45.99±11.47） years. Based on the lateral view X ray pictures of cervical spine,the abnormality curvature and character of cervical spine were studied in two groups. Results： The incidence rate in abnormality curvature of cervical spine in cervical spondylosis group（achieved to 95.50%） was more than that of non cervical spondylosis group,there was significant difference between two groups （P=0.0000.01）. Furthermore,the patterns of the abnormality curvature of cervical spine in cervical spondylosis group was complicated and variegated,of which physiological curvature diminished had 23.12% （77 cases）,turn straight had 40.84% （136 cases）,increased had 0.60% （2 cases）,recurved had 12.01% （40 cases）,S shape had 4.20%（14 cases）,contra S shape had 2.70% （9 cases）,upper flex and lower straight had 4.50% （15 cases）,upper straight and lower flex had 7.51% （25 cases）. Conclusion：The abnormality curvature of cervical spine may be an X ray diagnostic indication to the cervical spondylosis,which is complicated and variegated. It will provide the guidance for the diagnosis and treatment of cervical spondylosis.
出处
《中国骨伤》
CAS
2010年第10期746-749,共4页
China Journal of Orthopaedics and Traumatology
基金
国家重点基础研究发展计划(973)项目(编号:2007CB512701)
关键词
颈椎病
X线
应力
病例对照研究
Cervical spondylosis
X rays
Stress
mechanical
Case control studies
