| 颈椎生理曲度异常对颈椎病发病作用的病例对照研究 |
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Received:February 09, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张明才 |
ZHANG Ming-cai |
上海中医药大学附属曙光医院骨伤科, 上海 200021 |
Department of Orthopaedics and Traumatology, the Affiliated Shuguang Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China |
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| 石印玉 |
SHI Yin-yu |
上海中医药大学附属曙光医院骨伤科, 上海 200021 |
Department of Orthopaedics and Traumatology, the Affiliated Shuguang Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China |
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| 王翔 |
WANG Xiang |
上海中医药大学附属曙光医院骨伤科, 上海 200021 |
Department of Orthopaedics and Traumatology, the Affiliated Shuguang Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China |
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| 黄仕荣 |
HUANG Shi-rong |
上海中医药大学附属曙光医院骨伤科, 上海 200021 |
Department of Orthopaedics and Traumatology, the Affiliated Shuguang Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China |
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| 詹红生 |
ZHAN Hong-sheng |
上海中医药大学附属曙光医院骨伤科, 上海 200021 |
Department of Orthopaedics and Traumatology, the Affiliated Shuguang Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China |
shgsyjs@139.com |
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| 期刊信息：《中国骨伤》2010年23卷，第10期，第746-749页 |
| DOI：10.3969/j.issn.1003-0034.2010.10.008 |
| 基金项目:国家重点基础研究发展计划(973)项目(编号：2007CB512701) |
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目的：探讨颈椎生理曲度异常对颈椎病发病的作用，为颈椎病的临床诊治提供思路。
方法：研究设颈椎病和无颈椎病两组，其中颈椎病组(来源于2006年3月至2008年12月曙光医院骨伤科门诊患者)333例，男119例，女214例；平均年龄(48.11±12.21)岁。无颈椎病组受试者73例(来源于上海中医药大学在校大学生、曙光医院研究生及进修生、部分社区人员),男18例，女55例；平均年龄(45.99±11.47)岁。对两组受试者的颈椎侧位X线片进行颈椎生理曲度观测，比较两组中颈椎生理曲度异常的发生率的差异性，并对两组颈椎生理曲度异常改变的临床特点进行分析。
结果：与无颈椎病组相比，颈椎病组患者颈椎生理曲度异常发生率高达95.50%(318/333),二者之间具有统计学差异(P=0.000<0.01);且颈椎病组颈椎生理曲度异常形式较复杂和多样化，其中颈椎生理曲度减小占23.12%(77/333),变直占40.84%(136/333),增大占0.60%(2/333),反弓占12.01%(40/333),S形占4.20%(14/333),反S形占2.70%(9/333),上曲下直(以C4为分界点)占4.50%(15/333),上直下曲(以C4为分界点)占7.51%(25/333).
结论：颈椎生理曲度异常是各型颈椎病早期X线征象，且颈椎生理曲度异常形式较复杂和多样化，临床不能笼统称之为“颈椎生理曲度异常”,而应重视颈椎生理曲度异常分型的研究，这将对颈椎病的临床诊治具有指导意义。 |
| [关键词]:颈椎病 X线 应力 病例对照研究 |
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| Case control study on the association between abnormality curvature of cervical spine and pathogenesy of cervical spondylosis |
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Abstract:
Objective: To explore the relationship between the abnormality curvature of cervical spine and pathogenesy of cervical spondylosis,in order to provide a new way in diagnosis of cervical spondylosis.
Methods: There were two groups in the study,which were non-cervical spondylosis group(with heath adults)and cervical spondylosis group. From March 2006 to December 2008,333 patients(out-patients in department of orthopaedics of Shuguang hospital) in cervical spondylosis group,which were 119 males,214 females with an average age of(48.11±12.21) years. There were 73 subjects in non-cervical spondylosis group,which was 18 males,55 females with an average age of (45.99±11.47) years. Based on the lateral view X-ray pictures of cervical spine,the abnormality curvature and character of cervical spine were studied in two groups.
Results: The incidence rate in abnormality curvature of cervical spine in cervical spondylosis group(achieved to 95.50%) was more than that of non-cervical spondylosis group,there was significant difference between two groups(P=0.000<0.01). Furthermore,the patterns of the abnormality curvature of cervical spine in cervical spondylosis group was complicated and variegated,of which physiological curvature diminished had 23.12%(77 cases),turn straight had 40.84%(136 cases),increased had 0.60% (2 cases),recurved had 12.01% (40 cases),S shape had 4.20%(14 cases),contra-S shape had 2.70% (9 cases),upper flex and lower straight had 4.50% (15 cases),upper straight and lower flex had 7.51% (25 cases).
Conclusion: The abnormality curvature of cervical spine may be an X-ray diagnostic indication to the cervical spondylosis,which is complicated and variegated. It will provide the guidance for the diagnosis and treatment of cervical spondylosis. |
| KEYWORDS:Cervical spondylosis X-rays Stress,mechanical Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张明才,石印玉,王翔,黄仕荣,詹红生.颈椎生理曲度异常对颈椎病发病作用的病例对照研究[J].中国骨伤,2010,23(10):746~749 |
| 英文格式: | ZHANG Ming-cai,SHI Yin-yu,WANG Xiang,HUANG Shi-rong,ZHAN Hong-sheng.Case control study on the association between abnormality curvature of cervical spine and pathogenesy of cervical spondylosis[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(10):746~749 |
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