颈椎体旋转度、半失稳和彩超在椎动脉型、交感型、神经根型颈椎病间的相关研究  

A Study for Relativity Vertebral Rotation、Vertebral Semi-unsteady and Color Doppler Ultrasongraphy in Cervical Syndrome

作　　者：熊焱昊[1] 杜宁[1] 陈伟珍[1] 

机构地区：[1]上海市第二医科大学附属瑞金医院伤科,上海200025

出　　处：《中国中医骨伤科杂志》2005年第2期13-19,共7页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：上海市卫生系统百人计划;编号 :98BR0 13

摘　　要：目的:探讨椎动脉型、交感型、神经根型颈椎病之间的椎体半失稳、椎体旋转度的关系。探讨椎动脉型、交感型颈椎病之间彩色多普勒超声检查结果间的关系。方法:一组病例是在本院PACS系统(图像存档和传输系统)上有X线平片的颈椎病患者,其中椎动脉型2 1例、交感型1 9例、神经根型1 9例,应用PACS系统在X线正位片上测量患者每个颈椎椎体的旋转度和在侧位片上测量椎体半失稳的位移距离。另外一组病例是有彩色多普勒超声检查的颈椎病患者,其中椎动脉型、交感型各有2 1例。结果:椎动脉型颈椎病和交感型颈椎病都与神经根型颈椎病在C6 旋转度间的T检验有统计学意义,其它椎体旋转度间的T检验没有统计学意义。椎动脉型颈椎病(T=-3 .43 3、P=0 .0 0 1 )和交感型颈椎病(T=2 .3 97、P=0 .0 2 2 )都与神经根型颈椎病在椎体半失稳的位移距离间的T检验有统计学意义,椎动脉型颈椎病和神经根型颈椎病的椎体半失稳率间的卡方检验有统计学意义(χ2 =4.91 2、P=0 .0 2 7)。椎动脉型颈椎病患者,有66.7%的患者出现椎体半失稳,椎体半失稳的位移距离是0 .2 3±0 .1 8cm;交感型颈椎病患者,有63 .2 %的患者出现椎体半失稳,椎体半失稳的位移距离是0 .1 8±0 .1 7cm;神经根型颈椎病有3 0 %的患者出现椎体半失稳,椎体半失稳的位移距离是0 .Objective:To study the relationship of vertebral rotation and vertebral semi-unsteady among the vertebral artery cervical spondylosis、the spondylotic radiculopathy and the cervical sympathetic.To study the relationship of the color doppler ultrasongraphy between the vertebral artery cervical spondylosis and the cervical sympathetic.Methods:59 cases with cervical syndrome were divided the vertebral artery cervical spondylosis(n=21) 、the spondylotic radiculopathy(n=19) and the cervical sympathetic(n=19) according clinical symptom. physical sign. Each vertebral rotation, vertebral semi-unsteady of 59 cases with cervical syndrome measured by PACS . Another cases with cervical syndrome who had been done the color doppler ultrasongraphy examination were divided the vertebral artery cervical spondylosis(n=21) and the cervical sympathetic(n=21).Results:The vertebral artery cervical spondylosis and the cervical sympathetic both have obviously statistic differences with the spondylotic radiculopathy at the C_6 rotation applied with T-test, Other vertebral rotation haven't. The vertebral artery cervical spondylosis(P=0.001,T-test) and the cervical sympathetic(P=0.022,T-test) both have obviously statistic differences with the spondylotic radiculopathy at the distance of vertebral semi-unsteady, the vertebral artery cervical spondylosis has obviously statistic differences with the spondylotic radiculopathy at the ratio of vertebral semi-unsteady(p=0.027)applied with Chi-Square Tests. In the vertebral artery cervical spondylosis, The ratio of vertebral semi-unsteady is 66.7%,The distance of vertebral semi-unsteady is 0.23±0.18cm; In the cervical sympathetic, The ratio of vertebral semi-unsteady is 63.2%,The distance of vertebral semi-unsteady is 0.18±0.17cm;In the spondylotic radiculopathy, The ratio of vertebral semi-unsteady is 30%,The distance of vertebral semi-unsteady is 0.07±0.17cm. the vertebral artery cervical spondylosis has obviously statistic differences with the spondylotic radiculopathy at the PI、RI o

关 键 词：颈椎病 图像存档和传输系统 彩色多普勒超声 

分 类 号：R681.5[医药卫生—骨科学]