颈椎钩突的增龄形态学特征及临床意义  

Aging morphological characteristics of uncinate process of cervical vertebra and its clinical significance

作　　者：王星 阿格茹 吉热格乐根 张弛 赵磊[2] 张媛媛[2] 卜佳琪 科尔沁 赵学婷 杨媛惠子 王超群 李琨 张少杰 史君 李志军 Wang Xing;Ageru;Jiregelegen;Zhang Chi;Zhao Lei;Zhang Yuanyuan;Bu Jiaqi;Keerqin;Zhao Xueting;Yang Yuanhuizi;Wang Chaoqun;Li Kun;Zhang Shaojie;Shi Jun;Li Zhijun(Department of Anatomy of Basic Medical College(Digital Medical Center),Inner Mongolia Medical University,Hohhot 010010,Inner Mongolia Autonomous Region,China;First Clinical Medical College,Inner Mongolia Medical University,Hohhot 010010,Inner Mongolia Autonomous Region,China;Ordos Clinical Medical College,Inner Mongolia Medical University,Hohhot 010010,Inner Mongolia Autonomous Region,China;Imaging Department of Affiliated Hospital,Inner Mongolia Medical University,Hohhot 010010,Inner Mongolia Autonomous Region,China;Department of Physiology of Basic Medical College,Inner Mongolia Medical University,Hohhot 010010,Inner Mongolia Autonomous Region,China)

机构地区：[1]内蒙古医科大学基础医学院解剖学教研室(数字医学中心),内蒙古自治区呼和浩特市010010 [2]内蒙古医科大学第一临床医学院,内蒙古自治区呼和浩特市010010 [3]内蒙古医科大学鄂尔多斯临床医学院,内蒙古自治区呼和浩特市010010 [4]内蒙古医科大学附属医院影像科,内蒙古自治区呼和浩特市010010 [5]内蒙古医科大学基础医学院生理学教研室,内蒙古自治区呼和浩特市010010

出　　处：《中国组织工程研究》2023年第22期3580-3586,共7页Chinese Journal of Tissue Engineering Research

基　　金：国家自然科学基金资助项目(81860382),项目负责人:王星;内蒙古自治区自然科学基金资助项目(2020MS03061),项目负责人:王星;内蒙古自治区高等学校青年科技英才支持计划资助(NJYT22009),项目负责人:王星;内蒙古自治区科技计划项目(2019GG158),项目负责人:王星;内蒙古医科大学科研重点项目(YKD2021ZD011),项目负责人:王星;内蒙古自治区卫生健康委医疗卫生科技计划项目(202201217,202201188),项目负责人:王星;国家自然科学基金资助项目(81860383),项目负责人:李志军;内蒙古自治区自然科学基金资助项目(2020LH08021),项目负责人:李志军;内蒙古自治区自然科学基金资助项目(2019MS08017),项目负责人:张少杰。

摘　　要：背景:钩椎关节作为颈椎所特有的结构,其发生、发育、发展与颈椎的稳定性和活动度密切相关,也与颈椎病的发病密切关联,了解钩椎关节的发育特点对颈椎病的发病类型、诊断与治疗有着重要意义。目的:通过对不同年龄段的颈椎钩椎关节中钩突相关径线的测量,以发现其随年龄增长、椎序递增的变化规律。方法:采取回顾性研究,收集不同年龄的颈椎影像学资料1447例,根据年龄分为:<10岁、10-19岁、20-29岁、30-39岁、40-49岁、50-59岁、≥60岁组,对钩椎关节中钩突长、高、宽、钩-横间距、钩突间距、钩突前脚间距和钩突后脚间距进行测量。结果与结论:(1)测量结果发现钩突相关结构部分存在着男女性别和左右侧别间的差异,钩突的长、高、宽随椎序的递增和年龄的增长总体呈缓慢递增趋势;钩突间距、钩突前脚间距、钩突后脚间距随椎序递增呈缓慢递增趋势,但在年龄增长中该三者间距变化不很显著;钩-横间距随椎序递增呈缓慢递增,但增龄变化不显著。(2)结果说明,颈椎钩椎关节中钩突相关结构存在着性别和侧别差异,并且随年龄增长和椎序增加整体呈缓慢递增趋势,掌握钩椎关节增龄特点和发育规律,可以为相关颈椎病的预防、诊断与治疗提供理论依据。BACKGROUND:As a unique structure of cervical ve rtebra,the occurrence and development of uncinate joint are closely related to the stability and range of motion of ce rvical ve rtebra,but it is also closely related to the incidence of cervical spondylosis.Understanding the developmental characte ristics of uncinate joint is of great significance to the type,diagnosis and treatment of cervical spondylosis.OBJECTIVE:To find the changing rules of uncinate process with age and increasing vertebral order by measuring the related diamete rs of uncinate process in cervical uncinate joints of different ages.METHODS:In a retrospective study,the imaging data of 1 447 cases of ce rvical ve rtebrae of diffe rent ages were collected.Acco rding to the age,they were divided into <10 years,10-19 years,20-29 years,30-39 years,40-49 years,50-59 years,> 60 years groups.The uncinate process length,width,height,uncinate-transverse distance,uncinate process distance,anterior foot distance and posterior foot distance of uncinate process were measured.RESULTS AND CONCLUSION:(1) The results showed that there were differences between males and females in the related structure of uncinate process,and the length,height and width of uncinate process increased slowly with the increase of ve rtebral sequence and age.The distance between uncinate process,the distance between the front foot of uncinate process and the distance between the posterior foot of uncinate process increased slowly with the increase of ve rtebral sequence,but the distance between them did not change significantly with the increase of age.The distance between hook and transverse increased slowly with the increase of vertebral orde r,but the change with age was not significant.(2) These results have concluded that there are gender and lateral differences in the uncinate process related structure of the uncinate joint of the cervical ve rtebra,and the overall trend increases slowly with the increase of age and vertebral orde r.Maste ring the aging characte ristics and devel

关 键 词：钩突 钩椎关节 形态学 增龄变化 临床意义 颈椎 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学] R496