颈椎病患者DR诊断的影像学分析  

Imaging Analysis of DR Diagnosis in Patients with Cervical Spondylosis

作　　者：郎贞彬 LANG Zhen-bin(Department of Radiology,Qiaojia County Chinese Medicine Hospital,Zhaotong,Yunnan Province,654600 China)

机构地区：[1]云南省昭通市巧家县中医医院放射科,云南昭通654600

出　　处：《中外医疗》2019年第9期171-173,共3页China & Foreign Medical Treatment

摘　　要：目的分析不同颈椎病患者DR诊断影像学的临床价值。方法研究对象为2017年6月—2018年8月方便选取该院行数字化平板X线摄影机(DR)的114例颈椎病患者,观察对比患者各韧带、椎管、棘突、横突、椎弓、椎体和椎间隙具体情况。结果该组病例DR诊断结果为:21例为颈椎序列不稳、59例为曲度异常、61例为骨质增生、17例为椎间隙变窄、25例发生关节突退变、35例韧带出现钙化。结论颈椎病患者采用影像学DR诊断可清晰地显示出患者的病情,而颈椎常规正侧位片可作为基本方法用于颈椎病的普查手段,并结合患者实际情况,如需要则可辅以张口位、双斜位及过屈过伸位片进行观察,以期为临床治疗提供更丰富的影像学依据。Objective To analyze the clinical value of DR diagnostic imaging in patients with different cervical spondylosis.Methods From june 2017 to August 2018 A total of 114 patients with cervical spondylosis who underwent digital flat-screen radiography(DR)in our hospital were enrolled.The ligaments,spinal canal,spinous process,transverse process,vertebral arch,vertebral body and intervertebral space were observed and compared.Results The results of DR diagnosis in this group were:21 cases of cervical spine instability,59 cases of abnormal curvature,61 cases of bone hyperplasia,17 cases of narrowing of intervertebral space,25 cases of articular process degeneration,35 cases of ligament calcification.Conclusion Patients with cervical spondylosis can clearly show the patient’s condition by imaging DR diagnosis,and the conventional positive lateral radiograph can be used as a basic method for the screening of cervical spondylosis,combined with the actual situation of the patient,if necessary,supplemented with the mouth position,double oblique position and over-flexion over-expanded tablets for observation,in order to provide a richer imaging basis for clinical treatment.

关 键 词：颈椎病 DR 分析 

分 类 号：R681.5[医药卫生—骨科学] R816.8[医药卫生—外科学]