机关干部颈椎项韧带钙化的X线表现与分析  

X-ray findings and analysis of cervical vertebra ligamentum nuchae calcification among government functionaries

作　　者：胡觉清 佟海燕 张雪莲 张军荣 

机构地区：[1]海军机关门诊部放射科,北京100841

出　　处：《中国医药导报》2013年第13期95-97,共3页China Medical Herald

摘　　要：目的对颈椎正侧位片中有项韧带钙化的影像学资料进行分析,探讨项韧带钙化在颈椎病定位诊断中的价值。方法 2010年6月～2011年5月因颈项部不适的机关干部397例来海军机关门诊部行颈椎X线正、侧位片检查,收集其中有项韧带钙化的颈椎正侧位片116例,对项韧带钙化及其对应颈椎的X线表现进行诊断分析。结果 116例项韧带钙化共130个节段,位于颈4～5椎体后缘间隙58个(58/130,44.6%),位于颈5～6椎体后缘间隙47个(47/130,36.2%),位于其他颈椎后缘25个(25/130,19.2%)。颈椎发生退行性变93例(93/116,80.2%),生理弧度改变(变直或反向弯曲)67例(67/116,57.8%),椎体失稳87例(87/116,75.0%),颈椎滑移2例(2/116,1.72%),其中对应节段骨质增生34例(34/45,75.6%),对应节段椎间隙狭窄41例(41/49,83.7%),对应节段椎间孔狭窄23例(23/29,79.3%),对应节段前纵韧带钙化18例(18/22,81.8%),对应节段椎体滑移2例(2/2,100.0%)。结论机关干部项韧带钙化的发生率为29.2%,高于文献报道;项韧带钙化对应颈椎的退行性改变明显高于其他颈椎,可以为颈椎病的定位诊断提供参考。Objective To analyze the video materials of the calcified ligamentum nuchae in the anteroposterior and lateral plates of cervical vertebras and to discuss the value of the calcified ligamentum nuchae of cervical vertebras in the topical diagnosis of cervical spondylois. Methods From June 2010 to May 2011,397 government officials who did not feel well in their neck came to our hospital to have the anteroposterior and lateral X-ray check for their cervical vertebras. 116 cases of the anteroposterior and lateral plates with the calcified ligamentum nuchae were collected and a diagnosis analysis was conducted concerning the calcified ligamentum nuchae and the corresponding X-ray features. Results There were altogether 130 segments of the 116 calcified ligamentum nuchaes. 58 （58/130, 44.6%） were located in the intervals at the rear of the 4-5 vertebras, 47 （47/130, 36.2%） were in the intervals at the rear of the 5-6 vertebras, and 25 （25/130, 19.2%） were at the rear of other vertebras. The retrogression of the cervical vertebras were found in 93 （93/116, 80.2%） cases. Physiological curvature changes （straightened or reversed bending） were detected in 67 （67/116, 57.8%） cases. Vertebral instability was found in 87 （87/116, 75.0%） cases. Spondylolisthesis was found in 2 （2/116, 1.72%） cases. 34 （34/45, 75.6%） were detected hyperostosis in the corresponding segments. 41 （41/49, 83.7%） were detected intervertebral space narrowing in the corresponding segments. 23 （23/29, 79.3%） were detected intervertebral hole narrowing in the corresponding segments. 18 （18/22, 81.8%） were detected calcification in the anterior longitudinal ligament. 2 （2/2, 100.0%） were found vertebral slip in the corresponding segments. Conclusion The occurrence rate of calcification in the ligamentum nuchae among government officials is 29.2%, which is higher than the reports in the literature. The retrogressive changes in the corresponding cervical vertebra of the calcified ligamentum nuchae are evi

关 键 词：项韧带 钙化 颈椎病 机关干部 X线诊断 

分 类 号：R686.5[医药卫生—骨科学]