颈椎管率与神经根型颈椎病患病及预后的相关性分析  

Relationship between cervical spinal canal ratio and the risk and prognosis of cervical spondylotic radiculopathy

作　　者：姚有榕[1] YAO You-rong(the Fourth Department of Orthopaedics,the 98th Hospital of PLA,Huzhou,Zhejiang,313000,China)

机构地区：[1]解放军第98医院骨四科,浙江湖州313000

出　　处：《颈腰痛杂志》2018年第5期571-574,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的研究颈椎管率与神经根型颈椎病(cervical spondylotic radiculopathy,CSR)患病风险之间的关系,比较颈椎管率对患病风险及预后的影响。方法分别纳入符合研究标准的103位神经根型颈椎病患者作为病例组和150位正常成人作为对照组。收集两组的资料和颈椎计算机断层扫描(CT)图像,对CT图像进行矢状位重建,测量颈椎管率。对患者随访6个月,利用颈椎病临床评价量表和视觉模拟疼痛评分评估疗效。结果低颈椎管率者更易罹患神经根型颈椎病(OR=6.03,95%CI=1.82-10.24),低颈椎管率患者在视觉模拟疼痛评分(t=2.13,P<0.05)、临床体征(t=2.09,P<0.05)和主观症状(t=1.99,P<0.05)的比较,其预后差于非低颈椎管率患者,但在适应能力上无统计学差异(t=1.12,P>0.05)。结论颈椎管率越低,神经根型颈椎病发病风险越高;低颈椎管率的患者预后较差,但适应能力尚可。Objective To determine the relationship between cervical spinal canal ratio and therisk of cervical spondylotic radiculopathy （ CSR）, to explore the influence of cervical spinal canal ratioon the prognosis. Methods A total of 103 patients with cervical CSR who met the research criteriawere included as the case group, and 150 normal adults were selected as the control group. Theclinical data and cervical computed tomography （CT） images of two groups were collected, and thesagittal reconstruction of CT images was performed to gauge the cervical canal rate. The patients werefollowed up for 6 months, clinical assessment scale for cervical spondylosis and visual analogue painscore was performed to assess the prognosis. Results People with low cervical spinal canal ratio weremore vulnerable to cervical spondylosis （OR=6.03,95% CI=1.82-10.24）.Patients with low cervicalspinal canal ratio performed bad among visual analogue pain score （t=2.13,P〈0.05）, the dimension ofclinic symptoms （t=2.09,P〈0.05） and the dimension of subjective symptoms （ t=1.99,P〈0.05）,while hadno statistically significant difference in the dimension of adaptability （t=1.12,P〉0.05）. ConclusionLow cervical spinal canal ratio resulting in high risk of CSR. Patients with low cervical spinal canalratio tended to poor prognosis, but the ability in adaptability was acceptable.

关 键 词：颈椎管率 神经根型颈椎病 预后 

分 类 号：R681.5[医药卫生—骨科学]