颈椎生理曲度的生物力学变化与交感型颈椎病关系的研究  

Research of the relationship between the changes in cervical spinal physiological Curvation biomachanics and the occuring of the sympathetic cervical problem

作　　者：张建波[1] 张英俊[1] 张伟东[1] 

机构地区：[1]湖南省怀化医学高等专科学校,湖南怀化418000

出　　处：《中国现代医学杂志》2010年第18期2813-2815,2820,共4页China Journal of Modern Medicine

摘　　要：目的探讨颈椎生理曲度的生物力学变化所致颈椎不稳与交感型颈椎病发病的关系。方法对30例交感型颈椎病患者和30例随机抽样正常健康者颈椎的X线表现做对照研究。结果观察组颈椎生理曲度不稳者为23例(76.6%),颈椎间盘退变7例(23.4%);不稳定节段为1个者6例,2个者13例,3个者4例。颈椎不稳主要发生在C3-C4、C4-C5、C5-C6,偶见于C6-C7,且多为中度以上。对照组颈椎生理曲度不稳者为7例(23.4%),且多为轻度;颈椎间盘退变占21例(70%)。结论颈椎生理曲度的生物力学变化所致的颈椎失稳是交感型颈椎病的重要发病原因。【objective】 To disscuss the relationship between the lability of cervical vertebra in cervical spinal physiologial curvation biomachanics and the occurimg of sympathetic cervical problem.【Method】 We make the controlled study radiography in cervical vertebra on 30 cases sympathetic cervical problem and 30 normal persons were investigated.【Results】the rate of the lability of the cervical vertebra of the observing team is 23 cases（76.6%）,7 cases had the retrogression of cervical disc.cervical instability was found at one level in 6 patients,two levels in 13 patients,and tree levels in 4 patients.cervical instability mainly took place at C3-C4,C4-C5 and C5-C6 occasionally at C6-C7 and the cervical instability was obvious.The lability of the cervical spinal physiologial curvation of the controlling team was 7 cases（23.4%）,and the cervical instability was moderate;21 cases had the disc retrogression.【Conclusion】The cervical imstability of the changes incervical spinal physiologial curvation,biomachanics is the important occurimg reason for the sympathetic cervical problem.

关 键 词：颈椎 生物力学 交感型颈椎病 

分 类 号：R681.5[医药卫生—骨科学]