无症状成人颈胸交界区脊柱矢状面参数的相关性  

Correlation of saggital parameters of cervical and thoracic junction areas in asymptomatic adults

作　　者：曹斌[1] 左玉强 杜晗阳 于海泉[1] 苏敬阳[1] 孟浩勇 Cao Bin;Zuo Yuqiang;Du Hanyang;Yu Haiquan;Su Jingyang;Meng Haoyong(Third Department of Orthopedics,First Hospital of Shijiazhuang,Shijiazhuang 050000,Hebei Province,China;Medical Examination Center,Second Hospital of Hebei Medical University,Shijiazhuang 050000,Hebei Province,China;Department of Radiology,First Hospital of Shijiazhuang,Shijiazhuang 050000,Hebei Province,China)

机构地区：[1]石家庄市第一医院骨三科,河北省石家庄市050000 [2]河北医科大学第二医院体检中心,河北省石家庄市050000 [3]石家庄市第一医院放射科,河北省石家庄市050000

出　　处：《中国组织工程研究》2020年第33期5354-5357,共4页Chinese Journal of Tissue Engineering Research

摘　　要：背景:颈胸交界区脊柱矢状面平衡不仅与全脊柱矢状面平衡相关,还与颈椎矢状面平衡相关。目的:探讨无症状成人颈胸交界区脊柱矢状面参数的相关性。方法:选择2017年1月至2018年12月在河北医科大学第二医院体检中心行健康体检且无颈椎病相关临床症状者120名,年龄23-79岁,根据年龄分为21-40岁组、41-60岁组、61-80岁组,每组40名,均拍摄颈椎侧位DR影像,测量下面影像学参数:C2-C7矢状面轴向垂直距离、头部重心到C7椎体矢状面轴向垂直距离、胸廓入口角、颈倾角、T1倾斜角、颅倾角。结果与结论:①3组间C2-C7矢状面轴向垂直距离、头部重心到C7椎体矢状面轴向垂直距离、胸廓入口角、颈倾角、T1倾斜角、颅倾角比较差异均有显著性意义(P<0.05),并且组间两两比较差异亦有显著性意义(P<0.05);胸廓入口角、颈倾角、T1倾斜角随着年龄的增大而增大;②相关性分析显示胸廓入口角、颈倾角、T1倾斜角与年龄呈正相关(r=0.622,r=0.439,r=0.533,P均<0.001);胸廓入口角与T1倾斜角呈正相关(r=0.569,P<0.001);胸廓入口角、T1倾斜角均与C2-C7矢状面轴向垂直距离呈负相关(r=-0.725,r=-0.352,P均<0.001);③结果表明,无症状成人胸廓入口角、颈倾角、颅倾角、T1倾斜角呈随年龄增大而增大的趋势,且胸廓入口角、颈倾角、T1倾斜角与年龄呈正相关。BACKGROUND: The sagittal balance of the spine in the cervical and thoracic junction areas is not only related to the sagittal balance of the whole spine, but also related to the sagittal balance of the cervical spine. OBJECTIVE: To investigate the correlation of sagittal parameters in cervical and thoracic junction areas inasymptomatic adults. METHODS: Totally 120 asymptomatic adults were enrolled from January 2017 to December 2018 from the Medical Examination Center, Second Hospital of Hebei Medical University. Age ranged from 23-79 years. The patients were divided into group A(21-40 years old), group B(41-60 years old) and group C(61-80 years old), with 40 persons in each group. DR images of lateral cervical spine were taken, and the following imaging parameters were measured: C2-C7 sagittal vertical axis, head center of gravity to C7 sagittal vertical axis, thoracic inlet angle, neck tilt, T1 slope and the cranial tilt. RESULTS AND CONCLUSION:(1) There were significant differences among the three groups in the C2-C7 sagittal vertical axis, head center of gravity to C7 sagittal vertical axis, thoracic inlet angle, neck tilt, T1 slope and the cranial tilt(P<0.05);there were also significant differences between the two groups(P<0.05). Thoracic inlet angle, neck tilt, and T1 slope increased with age.(2) The correlation analysis showed that there was a positive correlation between the thoracic inlet angle, neck tilt, T1 slope and age(r=0.622, r=0.439, r=0.533, all P<0.001). There was a positive correlation between the thoracic inlet angle and T1 slope(r=0.569, P<0.001). There was negative correlation between the thoracic inlet angle, T1 slope and C2-C7 sagittal vertical axis(r=-0.725, r=-0.352, all P<0.001).(3) The results showed that the thoracic inlet angle, neck tilt, carnial tilt and T1 slope increased with age, and the thoracic inlet angle, neck tilt and T1 slope were positively correlated with age.

关 键 词：胸廓入口角 颈椎矢状面平衡 影像学 相关性 无症状 成人 DR 矢状面轴向距离 

分 类 号：R445.4[医药卫生—影像医学与核医学] R336[医药卫生—诊断学]