棘突不共线在颈椎“骨错缝、筋出槽”诊断中的临床应用  

Clinical application of non-collinear spinous process in the diagnosis of cervical vertebra"Gu Cuo Feng and Jin Chu Cao(骨错缝、筋出槽)"

作　　者：张开勇[1] 庄园[1] 詹红生[1] 张明才[1] 石印玉[1] 

机构地区：[1]上海中医药大学附属曙光医院上海市中医药研究院骨伤科研究所,上海200021

出　　处：《中国骨伤》2013年第1期47-49,共3页China Journal of Orthopaedics and Traumatology

基　　金："中医骨伤科学"国家重点学科(编号:100508);国家重点基础研究发展计划(973计划)(编号:2007CB512701);国家自然科学基金(编号:81073114;81001528);国家中医药行业科研专项(编号:7-17);上海市科委重点项目(编号:09dZ1973800;10495801100);上海高校创新团队建设项目(编号:2009-26);上海市卫生局青年科研项目(编号:2010Y131);上海卫生局中医药科研专项(编号:2010QL012B;2010L027A)~~

摘　　要：目的:研究X线平片对椎体旋转诊断的应用价值。方法:自2010年5月至2011年6月收集颈椎病患者129例,行颈椎X线正位平片检查,其中119例存在棘突不共线纳入测量,另10例棘突均共线不纳入测量。纳入测量病例中男28例,女91例,年龄24～65岁,平均(48.53±14.32)岁。纳入病例行CT检查,记录X线平片中观察到的棘突不居中的椎体节段及个数,再对棘突不居中的椎体节段行CT后多平面重建,观测相应节段椎体旋转及棘突偏歪的情况,统计分析X线平片检查中观测到的不居中的棘突个数与椎体旋转之间的关系。结果:不共线棘突个数为1～6个时,椎体旋转率分别为45.45%,46.67%,56.86%,62.07%,77.14%,85.19%。结论:不共线棘突数越多,相应椎体旋转可能性越大。Objective：To analyze value of X-ray in diagnosis of cervical vertebral rotation. Methods：From May 2010 to June 2011,129 patients with cervical spondylosis were collected and examined by X-ray. Among them, 119 cases were collinear spinous, other 10 cases were excluded with collinear. Of involved patients, 28 cases were male, 91 eases were females with an average age of （48.53±14.32） （ranged,24 to 65） years. The segments and numbers of vertebral body spinous process which were not centered were recorded, and then CT scan was performed to examine segments of vertebral body and spinous process which were not centered to observe rotation of cervical vertebra and spinous process deviation. The relationship between numbers of spinous not centered and vertebral rotation was statistical analyzed. Results： When the number of spinous not centered ranged from 1 to 6, vertebral rotation rate were 45.45%, 46.67%, 56.86%, 62.07 %, 77.14%, 85.19% respectively. Conclusion： The more numbers of vertebral spinous process not centered, the more chance of corresponding vertebral rotation.

关 键 词：颈椎病 X线 诊断 

分 类 号：R277.705[医药卫生—中医学]