新疆维吾尔族人正常颈椎管率的流行病学研究  

The Epidemiological Study on Cervical Spinal Canal Ratio of Xinjiang Uighur

作　　者：张鹰[1] 杨宇[1] 凯赛尔江.艾合买提 徐子昂[1] 倪鹏辉[1] 

机构地区：[1]新疆医科大学第五附属医院骨二科,新疆乌鲁木齐830011

出　　处：《实用骨科杂志》2016年第6期486-490,共5页Journal of Practical Orthopaedics

摘　　要：目的研究新疆维吾尔族正常颈椎管率的流行病学特点。方法应用随机、整群、分层抽样法,抽取新疆5个市（喀什、和田、吐鲁番、哈密、伊宁）健康成年人群脊柱样本,收集维吾尔民族不同性别、不同年龄组人群的正常颈椎侧位X线片,测量并统计颈椎C2～7各节段椎管矢状径（a）及与其对应的椎体矢状径（b）,并换算成颈椎管率（a/b）。结果新疆维吾尔族的平均颈椎C2～7节段（除C4稍低于C5节段外）椎管率呈现从高到低的趋势;不同性别间的椎管率在颈椎C2～7节段男性明显小于女性（P〈0.05）,不同性别间的椎体矢状径在颈椎C2～7节段男性大于女性（P〈0.05）,不同性别间的椎管矢状径在颈椎C2～7节段女性与男性接近,差异无统计学意义（P〉0.05）。维吾尔族不同年龄组的颈椎管率在C2、C3、C4、C6、C7节段的差异有统计学意义（P〈0.05）,但不同年龄组颈椎管率在颈椎C5节段的差异无统计学意义（P〉0.05）,不同年龄组的椎管及椎体矢状径在颈椎C2～7节段女性与男性接近,差异均无统计学意义（P〉0.05）。结论颈椎管率的相关测量结果揭示了新疆维吾尔族正常颈椎管率的流行病学特点,为临床应用及进一步基因学研究新疆维吾尔族颈椎管率的解剖学和遗传学的特点提供统计学依据。Objective To study the epidemiological characteristics of the rate of cervical spinal canal of Xinjiang uygur.Methods We selected five cities（ kashi,hotan,turpan,hami,yining） of Xinjiang and examed the adults of healthy spine as samples by random layer sampling method. Lateral X-ray of cervical vertebral of different genders groups and different age groups of Xinjiang uygur were collected. We measured sagittal diameter of vertebral canal（ a） and the sagittal diameter of vertebral body（ b） of each of cervical vertebra C2 ～ 7and converted to cervical spinal canal ratio（ a / b） Statistic analysis was made. Results The verage cervical spinal canal ratio of C2 ～ 7of Xinjiang uygur decrease with level（ but cervical spinal canal ratio of the C4 was slightly lower than that of the C5）;in the cervical spine C2 ～ 7,there was significantly difference between male and female（ P〈0. 05）,cervical spinal canal ratio of men were uch smaller than that of women.,men had bigger cervical vertebral sagittal diameter of C2 ～ 7segment than that of women（ P〈0. 05）;the cervical vertebral canal sagittal diameter of C2 ～ 7segment showed no difference between women and men（ P〈0. 05）;the difference of cervical spinal canal ratio of different age groups in the C2,C3,C4,C6 and C7segment was significant（ P〈0. 05）,but the rate of cervical spinal canal in different age groups of cervical vertebra C5 segmental difference was not significant（ P〈0. 05）,women and men had no significant difference（ P〈0. 05） in the cervical spinal canal and vertebral sagittal diameter of C2 ～ 7segment,. Conclusion Cervical vertebral canal ratio related measurements of Xinjiang uygur reveals the epidemiological characteristics of cervical spinal canal ratio of Xinjiang uygur. It provide very important evidence which is about clinical application and further genetic study.

关 键 词：椎管率 颈椎 维吾尔族 流行病学 

分 类 号：R681.55[医药卫生—骨科学]