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伴有上交叉综合征的青年颈型颈椎病患者的颈椎X线检查的初步分析
Hits: 1888   Download times: 1256   Received:July 11, 2018    
作者Author单位UnitE-Mail
马明 MA Ming 中国中医科学院望京医院, 北京 100102 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China  
张世民 ZHANG Shi-min 中国中医科学院望京医院, 北京 100102 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China smzhang1117@163.com 
章永东 ZHANG Yong-dong 中国中医科学院望京医院, 北京 100102 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China  
黎作旭 LI Zuo-xu 中国中医科学院望京医院, 北京 100102 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China  
吴冠男 WU Guan-nan 中国中医科学院望京医院, 北京 100102 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China  
张秀江 ZHANG Xiu-jiang 中国中医科学院望京医院, 北京 100102 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China  
靳蛟 JIN Jiao 中国中医科学院望京医院, 北京 100102 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China  
刘昱彰 LIU Yu-zhang 中国中医科学院望京医院, 北京 100102 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China  
张兆杰 ZHANG Zhao-jie 中国中医科学院望京医院, 北京 100102 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China  
期刊信息:《中国骨伤》2019年32卷,第3期,第225-229页
DOI:10.3969/j.issn.1003-0034.2019.03.006
基金项目:中国中医科学院望京医院院级科研课题(编号:WJYY-PY-025)


目的:分析伴有上交叉综合征(upper crossed syndrome,UCS)的青年颈型颈椎病患者的X线特点。

方法:选取2017年1月至10月期间伴有和不伴有UCS的青年颈型颈椎病患者各20例,以及正常志愿者10例,予以颈椎侧位、前屈后伸位X线检查,观察颈椎夹角、角位移、相邻椎体滑移。

结果:UCS组颈椎夹角为(-0.40±9.64)°,明显小于正常组的(14.35±9.01)°(P<0.05)和非UCS组的(9.55±14.69)°(P<0.05)。UCS组上颈椎前屈后伸位角位移变化为(8.18±4.81)°,明显小于正常组的(12.14±3.48)°(P<0.05)和非UCS组的(12.34±5.65)°(P<0.05)。UCS组前屈位下颈椎椎体后缘滑移为15.41±2.21,明显大于正常组的13.26±2.42(P<0.05),同非UCS组的15.64±2.07,差异无统计学意义(P>0.05)。

结论:伴有UCS青年颈型颈椎病患者的颈椎生理曲度更倾向于变直或者反张,上颈椎屈伸活动受限,而下颈椎处于屈曲状态。
[关键词]:颈椎病  上交叉综合征  青年期  X线
 
Preliminary analysis on X-ray in youth neck type of cervical spondylosis with upper crossed syndrome
Abstract:

Objective:To analyze the X-ray characteristics in youth neck type of cervical spondylosis with upper crossed syndrome(UCS).

MethodsThe patients who had a neck type of cervical spondylosis with or without UCS were selected from January to October 2017,20 cases in each group,and 10 normal volunteers were chosen in the study. X-ray examination of lateral and hyperextension-hyperflexion of cervical spine were performed to observe cervical spine angle,angular displacement and adjacent vertebral body slip.

ResultsThe cervical spine angle was (-0.40±9.64)° in the UCS group,significantly less than (14.35±9.01)° in the normal group and (12.34±5.65)° in the non-UCS group(P<0.05). The change of angular displacement of the upper cervical vertebra in anterior flexion and posterior extension was (8.18±4.81)° in UCS group,which was also significantly less than (12.14±3.48)° in the normal group and (12.34±5.65)° in the non-UCS group(P<0.05). The slippage of the vertebral posterior margin of the lower cervical spine in the anterior flexion was 15.41±2.21 in the UCS group,which was significantly greater than 13.26±2.42 in normal group(P<0.05),and was not obviously different from 15.64±2.07 in non-UCS group(P>0.05).

ConclusionIn young patients who has a neck type of cervical spondylosis with UCS,the cervical curvature prone to straighten or reverse,the upper cervical flexion and extension are limited,while the lower cervical is in a flexion.
KEYWORDS:Cervical spondylosis  Upper crossed syndrome  Abolescent  X-rays
 
引用本文,请按以下格式著录参考文献:
中文格式:马明,张世民,章永东,黎作旭,吴冠男,张秀江,靳蛟,刘昱彰,张兆杰.伴有上交叉综合征的青年颈型颈椎病患者的颈椎X线检查的初步分析[J].中国骨伤,2019,32(3):225~229
英文格式:MA Ming,ZHANG Shi-min,ZHANG Yong-dong,LI Zuo-xu,WU Guan-nan,ZHANG Xiu-jiang,JIN Jiao,LIU Yu-zhang,ZHANG Zhao-jie.Preliminary analysis on X-ray in youth neck type of cervical spondylosis with upper crossed syndrome[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(3):225~229
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