颈源性头痛患者棘突偏歪和椎体滑脱X线研究  

A X-ray observation of spinous process deviation and spondylolisthesis in patients with cervical headache

作　　者：杜春晓 梁咏珊 许伟丹 黄君瑶[1] DU Chunxiao;LIANG Yongshan;XU Weidan;HUANG Junyao(Rehabilitation Department,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属第一医院康复科,广东广州510120

出　　处：《广州医药》2024年第5期494-499,共6页Guangzhou Medical Journal

摘　　要：目的研究颈源性头痛患者颈椎X线中C2~C7棘突偏歪和椎体滑脱情况,总结其中存在的规律,为治疗颈源性头痛提供影像学理论支持。方法选取颈源性头痛患者96例,观察并记录每位患者颈椎X线片中C2~C7棘突偏歪和椎体滑脱情况。用统计软件分别对棘突偏歪和椎体滑脱数据进行分析。结果颈源性头痛患者较常出现棘突偏歪,右侧偏歪明显多于左侧偏歪。其中C2棘突偏歪最常见,出现比例为66.7%。C2棘突偏歪率与C3~C7分别进行χ2检验,其中C5、C6与C2均有显著差异。C3、C4、C7与C2均无显著差异。椎体滑脱亦常出现于颈源性头痛患者,其中C7椎体向前Ⅰ度滑脱最常见,出现比例为50.0%。C7椎体向前Ⅰ度滑脱率与C2~C6分别进行χ2检验,其结果均有显著差异。结论C2棘突偏歪和C7椎体向前Ⅰ度滑脱较常出现于颈源性头痛患者。在治疗颈源性头痛患者时,与C2和C7相关的软组织损伤和关节紊乱应引起重点关注。Objective To study the skew of C2~C7 spinous process deviation and spondylolisthesis in cervical spine X-ray of patients with cervical headache,and summarize the existing rules,so as to provide imaging theoretical support for the treatment of cervical headache.Methods The C2~C7 spinous process distortion and spondylolisthesis in cervical radiographs of 96 patients with cervical headache were observed,recorded and analyzed.Results Skew of spinous process was more common in patients with cervicogenic headache,and skew of right side was more obvious than skew of left side.C2 spinous process was the most common,and the proportion of occurrence was 66.7%.The skew rate of C2 spinous process were compared with that of C3~C7 byχ2 test.There were significant differences between C5,C6 and C2.There were no significant difference between C3,C4,C7 and C2.Spondylolisthesis was commonly seen in patients with cervicogenous headache,and I degree spondylolisthesis was most commonly seen in C7,and the proportion of occurrence was 50.0%.There were significant differences between the anteriorⅠdegree slip rate of C7 vertebrae and that of C2~C6 vertebrae byχ2 test.Conclusions C2 spinous process and C7 spondylolisthesis I are more commonly seen in patients with cervicogenic headache.Soft tissue injuries and joint disorders associated with C2 and C7 should be paid more attention in the treatment of patients with cervicogenic headache.

关 键 词：颈源性头痛 X线片 棘突偏歪 椎体滑脱 

分 类 号：R681.5[医药卫生—骨科学]