颈椎关节突关节矢状位角的不对称性和关节突关节退变关系的影像学研究  

Imaging study on the relationship between sagittal angle asymmetry of cervical facet joint and cervical facet joint degeneration

作　　者：徐聪[1] 徐庆平 艾雯 江凯燕 袁佳 吴炳华[5] 尹生江[6] 毕振宇[7] 焦培峰 Xu Cong;Xu Qingping;Ai Wen;Jiang Kaiyan;Yuan Jia;Wu Binghua;Yin Shengjiang;Bi Zhenyu;Jiao Peifeng(Department of Neurosurgery,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Orthopedics,the Third Affiliated Hospital of Nanchang University,Nanchang 330003,China;Nanchang Medical College,Nanchang 330036,China;The Fourth Clinical Medical College of Nanchang University,Nanchang 330003,China;Department of Orthopaedics,the Fourth Affiliated Hospital of Nanchang University,Nanchang 330003,China;Department of Radiology,the Fourth Affiliated Hospital of Nanchang University,Nanchang 330003,China;Department of Anatomy,Southern Medical University,Guangzhou 510515,China;Department of Anatomy,Jinan University,Guangzhou 510632,China)

机构地区：[1]南昌大学第一附属医院神经外科,南昌330006 [2]南昌大学第三附属医院骨科,南昌330003 [3]南昌医学院,南昌330036 [4]南昌大学第四临床医学院,南昌330003 [5]南昌大学第四附属医院骨科,南昌330003 [6]南昌大学第四附属医院放射科,南昌330003 [7]南方医科大学人体解剖学教研室,广州510515 [8]暨南大学医学院解剖教研室,广州510632

出　　处：《中国临床解剖学杂志》2021年第5期535-538,545,共5页Chinese Journal of Clinical Anatomy

基　　金：国家自然科学基金项目(31460273);江西省自然科学基金项目(20151BAB205052)。

摘　　要：目的探讨颈椎关节突关节矢状位角的不对称性和关节突关节退变的关系。方法利用4度评估法,3位测评者对20具新鲜尸体颈椎标本的轴向位CT图像上C3/4~C6/7节段共160个关节突关节矢状位角和退变程度进行单盲随机测评,并统计分析。结果20具颈椎标本在不同节段间的关节突关节矢状位不对称角度无显著性差异(F=0.55,P=0.65),关节突关节退变程度也无显著性差异(左侧:Z=3,P=0.646;右侧:Z=3,P=0.376),但C3/4和C4/5的关节突关节矢状位角的不对称程度与同节段关节突关节退变的程度之间有显著的差异性(C3/4:Z=8.567,P=0.014;C4/5:Z=2.000,P=0.025)。结论关节突关节矢状位角的不对称性可能和关节突关节的退变有关。Objective To investigate the relationship between sagittal angle asymmetry of cervical facet joint and the degeneration of cervical facet joint.Methods The sagittal facet angle and the degeneration degree of 160 facet joint at C3/4-C6/7 segments on the axial CT of 20 fresh cervical cadaver specimens were evaluated blindly and statistically analyzed by 3 reviewers using the 4-degree evaluation method.Results There was no significant difference in sagittal asymmetrical angles of the facet joint between different segments(F=0.55,P=0.65),and there was also no significant difference in the degeneration of cervical facet joint(left:Z=3,P=0.646;right:Z=3,P=0.376)between different segments,but there were significant differences between the sagittal angle asymmetry of cervical facet joint and the degeneration of cervical facet joint at C3/4 and C4/5 segments of 20 fresh cervical cadaver specimens(C3/4:Z=8.567,P=0.014,C4/5;Z=2.000,P=0.025).Conclusion The sagittal angle asymmetry of cervical facet joint may be related to the degeneration of the facet joint.

关 键 词：关节突关节矢状位角的不对称性 关节突关节退变 CT 颈椎尸体标本 

分 类 号：R323.1[医药卫生—人体解剖和组织胚胎学] R814.42[医药卫生—基础医学]