青年人环枢关节间隙正常值调查  

Investigation of normal value of articulation cricouarytenioden of normal youngsters

作　　者：马奎云[1,2,3] 张小安 孙孝先[1,2,3] 党保华[1,2,3] 王之祥 

机构地区：[1]河南医科大学第一附属医院神经内科 [2]河南医科大学第三附属医院放射科 [3]郑州第二砂轮厂职工医院内科

出　　处：《河南医科大学学报》1998年第2期36-38,共3页Journal of Henan Medical University

基　　金：河南省科技攻关项目

摘　　要：选１００３名某高校学生，曾有头痛、头晕、手及上肢麻、痛和外伤史者７１８名，作为可疑患者剔除。无前５项者２８５名，其中１５１名（１５．１％）３部５处１１点无压痛为正常人组；另１３４名（１３．４％）１１点中有１点以上压为痛为无症状患者组。结果：正常人组齿突偏移（０．１８±０．０３）ｍｍ，无症状患者组齿突偏移（０．９４±０．５０）ｍｍ，２组差异显著（Ｐ＜０．００１）。提示：正常人组齿突一般无偏移或偏移在０．４９ｍｍ以下；齿突偏移０．５ｍｍ以上，尤其１．?Of the 1 003 university students(male:519;femal:498, aged 15 to 32,average, 17.9),718 of them who ever had headache, dizziness, pain and numbness in arms and hands, and a history of injury were regarded as uncertain patients. Those who had the first 5 items were counted to 285, amounting to 28.4%, of whom 151(15.1%) who felt normal when pressed at three parts, five places, eleven points, were regarded as the normal group; and 134 people (13.4%), who felt pain at more than one point among the 11 points, were regarded as patients without symptom group. In the normal group, the deviation of odontoid process was (0.18±0.33) mm. In the patient without symptom group, the deviation was (0.94±0.50) mm. The difference between the two groups was significant (P<0.001). It was demonstrated that in the normal group, the deviation was lower then 0.49 mm. Those whose deviation was more than 0.5 mm, especially more than 1.0 mm, should be taken as atlantoaxial subluxalion. This has profound clinical diagnostic significance.

关 键 词：环枢椎半脱位 脑外伤后综合征 颈椎 青年 

分 类 号：R651.15[医药卫生—外科学] R681.55[医药卫生—临床医学]