健康成人胸椎棘突偏歪的X线研究  

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

作　　者：韩同坤 吴科[1] HAN Tongkun;WU Ke(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》2022年第1期13-14,21,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:研究健康成人胸椎棘突偏歪情况,探讨胸椎棘突偏歪与胸椎椎体旋转移位的关系。方法:纳入100名进行常规体检的健康成人。男53例,女47例。年龄23~55岁,中位数35.5岁。根据Nash-Moe法评定,椎体旋转均为0级。观察纳入健康成人T_(1)至T_(12)椎体的正位X线片,判断胸椎棘突偏歪情况。结果:共1200个胸椎,其中棘突无偏歪1098椎,棘突偏歪102椎;102个棘突偏歪胸椎中,棘突左偏54椎、棘突右偏48椎;胸椎棘突偏歪分布于T_(2)共3椎、T_(3)共6椎、T_(4)共8椎、T_(5)共8椎、T_(6)共9椎、T_(7)共19椎、T_(8)共16椎、T_(9)共20椎、T_(10)共10椎、T_(11)共2椎、T_(12)共1椎。结论:健康成人的胸椎存在一定比例的棘突偏歪,临床不能以单纯的胸椎棘突偏歪来判断胸椎椎体有无旋转移位。Objective:To study the thoracic vertebral spinous process deviation in healthy adults, and to explore the relationship between thoracic vertebral spinous process deviation and thoracic vertebral rotation displacement.Methods:One hundred healthy adults who underwent physical examination were enrolled in the study, and they consisted of 53 males and 47 females and ranged in age from 23 to 55 years(Median=35.5 yrs).All patient’s thoracic vertebral rotation belonged to grade 0 evaluated by Nash-Moe method.The deviation of spinous process from T_(1) to T_(12) was observed on anteroposterior X-ray films of thoracic vertebrae.Results:One thousand and ninety-eight thoracic vertebrae with undeviated spinous processes and 102 ones with deviated spinous processes were found in 100 healthy adults(1200 thoracic vertebrae),and the spinous processes deviated to the left side in 54 ones and to the right side in 48 ones among the 102 ones with deviated spinous processes.The deviations of spinous processes were found in 3,6,8,8,9,19,16,20,10,2 and 1 thoracic vertebrae at T_(2),T_(3),T_(4),T_(5),T_(6),T_(7),T_(8),T_(9),T_(10),T_(11) and T_(12) segment respectively.Conclusion:There is a certain proportion of thoracic vertebral spinous process deviation in healthy adults, so the spinous process deviation cann’t be used as the exclusive criteria in diagnosis of thoracic vertebral rotation in clinic.

关 键 词：胸椎 成年人 棘突 椎体旋转 X线 

分 类 号：R816.8[医药卫生—放射医学]