青少年颈椎钩突-横突孔间距的增龄变化及临床意义  

Clinical significance and change with age of cervical vertebral uncinate process and transverse process of teenagers

作　　者：王星[1,2] 王威 史君[2] 张少杰[1,2] 张志峰[4] 李志军[1,2] 张元智[5] 

机构地区：[1]内蒙古医科大学基础医学院人体解剖学教研室,内蒙古呼和浩特010059 [2]内蒙古医科大学基础医学院生理学教研室,内蒙古呼和浩特010059 [3]内蒙古自治区人民医院急诊外科,内蒙古呼和浩特010017 [4]内蒙古医科大学第二附属医院关节科,内蒙古呼和浩特010030 [5]内蒙古医科大学数字医学中心,内蒙古呼和浩特010059

出　　处：《局解手术学杂志》2014年第2期144-145,共2页Journal of Regional Anatomy and Operative Surgery

基　　金：国家自然科学基金项目(81260269);内蒙古自然科学基金项目(2012MS1149);内蒙古医科大学青年创新基金(YKD2013QNCX018)

摘　　要：目的：通过对6-20岁青少年颈椎钩突的影像学扫描和三维重建,探讨钩突-横突孔间距的发育规律和增龄特征,为青少年颈椎病的诊治和预防提供影像解剖学依据。方法选取无外伤、神经症状和体征的青少年66例,行多排螺旋CT薄层扫描（0.625-1.25 mm）,范围C1-T1,将原始数据以DICOM格式导入三维重建软件进行相关指标测量,并按性别、年龄分组进行统计分析。结果颈椎钩突-横突孔间距在性别与侧别间均无显著性差异,发育总体随着年龄和椎序的增长呈递增趋势,且存在显著统计学差异。结论颈椎钩突-横突孔间距与椎动脉型、神经根型等颈椎病的发病率有着密切相关。Objective To explore the uncinate-transverse hole spacing developmental patterns and aging characteristics by means of studying the teenagers aging from 6-20 years old,and provide the basis for image analysis of the treatment and prevention of cervical spondy-losis. Method the 66 adolescents without trauma nor problems of nervous system were selected to do thin spiral CT scan（0. 625 -1. 25 mm） ,the range was C1 -T1 . The original data in the form of DICOM are analyzed according to gender and age. Results There was no sig-nificant difference in gender and different sides. Overall,the physical development of human increases gradually with age and has some signifi-cant differences. Conclusion There exists a close relationship between cervical hook-transverse process and the incidence of vertebral artery type and nerve root type cervical spondylosis.

关 键 词：颈椎 钩突-横突孔间距 影像学测量 青少年 

分 类 号：R681.5[医药卫生—骨科学] R814.42[医药卫生—外科学]