健康成人颈椎棘突偏歪的X线研究  

A X-ray study of cervical vertebral spinous process deviation in healthy adults

作　　者：韩同坤 吴科[1] 刘元辉[1] HAN Tongkun;WU Ke;LIU Yuanhui(Songgang people's hospital of Bao'an district in Shenzhen city,Shenzhen 518105,Guangdong,China)

机构地区：[1]深圳市宝安区松岗人民医院,广东深圳518105

出　　处：《中医正骨》2021年第3期6-8,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:研究健康成人颈椎棘突偏歪情况,探讨颈椎棘突偏歪与椎体旋转的关系。方法:选取100例健康成人的颈椎正位X线片。男59例,女41例。年龄21~53岁,中位数35岁。按照Nash-Moe法评定,椎体旋转度均为Neutral级。观察颈椎正位X线片上C_(2)~C_(7)棘突偏歪情况。结果:100例受检者共600椎,其中566椎棘突无偏歪、34椎棘突偏歪。棘突偏歪的34椎中,棘突左偏13椎、棘突右偏21椎。C_(2)棘突偏歪3椎(棘突左偏2椎、棘突右偏1椎)、C_(3)棘突偏歪7椎(棘突左偏3椎、棘突右偏4椎)、C_(4)棘突偏歪6椎(棘突左偏2椎、棘突右偏4椎)、C_(5)棘突偏歪3椎(棘突左偏1椎、棘突右偏2椎)、C_(6)棘突偏歪10椎(棘突左偏3椎、棘突右偏7椎)、C_(7)棘突偏歪5椎(棘突左偏2椎、棘突右偏3椎)。不同节段颈椎棘突偏歪率总体比较,差异无统计学意义(χ^(2)=6.610,P=0.251)。不同节段颈椎棘突偏歪方向总体比较,差异无统计学意义(χ^(2)=1.476,P=0.916)。结论:健康成人的颈椎存在一定比例的棘突偏歪,临床不能以单纯的棘突偏歪来判断颈椎有无旋转。Objective:To study the cervical vertebral spinous process deviation in healthy adults,and to explore the relationship be­tween cervical vertebral spinous process deviation and cervical vertebral rotation.Methods:The anteroposterior X-ray films of cervical verte­brae of 100 healthy adults were selected.The adults consisted of 59 males and 41 females and ranged in age from 21 to 53 years(Median=35 yrs).All patient's vertebral rotation belonged to Neutral grade according to Nash-Moe evaluation standard.The deviation of spinous process from C_(2)to C_(7)was observed on anteroposterior X-ray films of cervical vertebrae.Results:Five hundred and sixty-six undeviated spi­nous processes and 34 deviated spinous processes were found in 100 healthy adult subjects(600 vertebraes),and 13 vertebrae deviated on the left side and 21 on the right side among the 34 vertebrae with deviated spinous processes.The deviations of spinous processes were found in 3(2 on the left and 1 on the right),7(3 on the left and 4 on the right),6(2 on the left and 4 on the right),3(1 on the left and 2 on the right),10(3 on the left and 7 on the right)and 5(2 on the left and 3 on the right)vertebraes at C_(2),C_(3),C_(4),C_(5),C_(6)and C_(7)segment respec­tively.There was no statistical difference in cervical vertebral spinous process deviation rate between different vertebral segments in general(X^(2)=6.610,P=0.251).There was no statistical difference in the direction of deviated cervical vertebral spinous process between different vertebral segments in general(X^(2)=1.476,P=0.916).Conclusion:There is a certain proportion of cervical vertebral spinous process devi­ation in healthy adults,so the spinous process deviation cann't be used as the exclusive diagnostic criteria of cervical vertebral rotation in clinic.

关 键 词：颈椎 成年人 棘突 推拿 脊柱 椎体旋转 放射摄影术 

分 类 号：R244.1[医药卫生—针灸推拿学]