CT三维重建钩突及周围结构评估C6神经根型颈椎病的价值  

The value of cervical spondylosis C6 assessed by morphometric study of the cervical uncinated process and surrounding structures through multilayer spiral CT scanning and the technology of three-dimensional reconstruction

作　　者：程思[1] 柯珍勇[1] CHENG Si;KE Zhenyong(Department of Orthopedics,Second Hospital Affiliated to Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院骨科,重庆400010

出　　处：《现代医药卫生》2018年第10期1476-1479,共4页Journal of Modern Medicine & Health

摘　　要：目的探讨计算机断层扫描(CT)三维重建钩突及周围结构用于C6神经根型颈椎病诊治的价值。方法收集该院骨科2015年6月至2017年6月健康成人54例(对照组)、保守治疗有效的C6神经根型颈椎患者30例(保守组)和经手术治疗的C6神经根型颈椎病32例(手术治疗组)的临床资料。以颈椎钩突和椎间孔等为研究对象,行颈椎多层螺旋CT扫描和三维重建检查,分别对钩突、椎间孔等解剖结构的长度、面积及立体空间关系进行数据测量和比较。结果三组钩突基底长、宽度比较,差异有统计学意义(P<0.05)。三组两侧椎间孔长径比较,差异无统计学意义(P>0.05)。对照组与保守组的两侧椎间孔短径比较,差异无统计学意义(P>0.05,);而手术治疗组与对照组、保守组比较,差异均有统计学意义(P<0.05)。手术治疗组两侧钩突倾角低于对照组和保守组,差异有统计学意义(P<0.05)。手术治疗组两侧椎间孔面积小于对照组和保守组,差异有统计学意义(P<0.05)。对照组中有15%的患者出现椎间孔狭窄,保守组中有93%的患者出现椎间孔狭窄;手术治疗组均出现不同程度狭窄,上部狭窄的例数明显增多,达到47%。结论 CT三维重建技术可从多角度、立体观察颈椎结构、立体空间位置和距离,为临床诊断和手术提供客观依据。Objective To investigate the value of computed tomography（CT）three-dimensional reconstruction of the uncinate process and its surrounding structures for the diagnosis and treatment of C6 cervical spondylotic myelopathy.Methods The clinical data of 54 healthy adults（control group）,30 cases conservatively treated C6 nerve root cervical patients（conservative group）,and 32 cases surgically treated C6 cervical spondylosis（operation group）from June 2015 to June 2017 in this hospital were collected. With cervical uncinate process and intervertebral foramen as research subjects,cervical multi-slice spiral CT scan and three-dimensional reconstruction examination were performed. The length,area and spatial relationship of anatomical structures such as uncinate process and intervertebral foramen were measured and compared.Results There was a significant difference in the length and width of the base of the uncinate process between the three groups（P〈0.05）.There was no significant difference in the length and diameter of the intervertebral foramina between the three groups（P〉0.05）.There was no significant difference between the control group and the conservative group on the short side of both intervertebral foramen（P〈0.05）,while the difference between the surgical treatment group and the control group and the conservative group was statistically significant（P〈0.05）.The angle of uncinate process on both sides of the surgical treatment group was lower than that of the control group and the conservative group,and the difference was statistically significant（P〈0.05）.The area of intervertebral foramen on both sides of the surgical treatment group was smaller than that of the control group and the conservative group,and the difference was statistically significant（P〈0.05）.In the control group,15% of patients had intervertebral foramen stenosis,and 93% of patients in the conservative group had intervertebral foramen stenosis.Surgical treatment groups showed varying degrees of ste

关 键 词：颈椎 脊柱骨赘病 体层摄影术 X线计算机 

分 类 号：R681.5[医药卫生—骨科学]