CAJ | 학술논문

目的分析交感神经型颈椎病治疗前后的相关影像学改变,探讨其影像学改变与疗效的相关性.方法收集住院治疗且同时经X线、CT、经颅多普勒(TCD)或彩色多普勒血流显像(CDFI)检查的交感神经型颈椎病患者71例,经综合治疗后,根据患者症状恢复情况评价疗效,且对影像学异常的病例复查,分析影像学改变与疗效的相关性.结果 71例患者治疗后优45例,良18例,可8例,优良率88.7％(63/71),有效率100.0％(71/71).复查相关影像:36例寰枢关节半脱位CT复查结果正常26例,改善6例,无改变4例；68例异常X线复查结果改善67例,无改变1例；38例异常TCD复查结果正常24例,改善2例,变化10例,无改变2例；36例颈部CDFI异常复查结果正常9例,改善10例,变化15例,无改变2例.影像学改变与疗效相关性分析:变化按数值0计,r=0.388,t=3.500,P＜ 0.01；变化按数值0.5计,r=0.361,t=3.211,P＜ 0.01.结论交感神经型颈椎病疗效与影像学改变呈正相关；且交感神经型颈椎病的病因复杂,系统检查能够发现不同的病因,有利于辨证治疗,并可印证疗效.
목적 분석교감신경형경추병치료전후적상관영상학개변,탐토기영상학개변여료효적상관성.방법 수집주원치료차동시경X선、CT、경로다보륵(TCD)혹채색다보륵혈류현상(CDFI)검사적교감신경형경추병환자71례,경종합치료후,근거환자증상회복정황평개료효,차대영상학이상적병례복사,분석영상학개변여료효적상관성.결과 71례환자치료후우45례,량18례,가8례,우량솔88.7％(63/71),유효솔100.0％(71/71).복사상관영상:36례환추관절반탈위CT복사결과정상26례,개선6례,무개변4례；68례이상X선복사결과개선67례,무개변1례；38례이상TCD복사결과정상24례,개선2례,변화10례,무개변2례；36례경부CDFI이상복사결과정상9례,개선10례,변화15례,무개변2례.영상학개변여료효상관성분석:변화안수치0계,r=0.388,t=3.500,P＜ 0.01；변화안수치0.5계,r=0.361,t=3.211,P＜ 0.01.결론 교감신경형경추병료효여영상학개변정정상관；차교감신경형경추병적병인복잡,계통검사능구발현불동적병인,유리 우변증치료,병가인증료효.
Objective To analyze the changes of imaging and the efficacy of sympathetic cervical spondylosis before and after treatment and discuss the correlation of them.Methods Seventy-one sympathetic cervical spondylosis inpatients who examined by X-ray,CT,transcranial Doppler (TCD) or color Doppler flow imaging(CDFI) were collected.After comprehensive treatment,the efficacy was evaluated according to the recovery of patients' symptoms,and the cases with imaging abnormalities were examined again.Then the correlation between the changes of imaging and the efficacy was analyzed.Results After treatment,all 71 cases,including 45 cases with excellent efficacy,18 cases with good effect and 8 cases turned effective,showed a fine rate 88.7％ (63/71) and an effective rate 100.0％ (71/71).The rechecked imaging results showed:in 36 lantoaxial subluxation cases by CT scanning,26 cases turned to be normal,6 cases were improved and 4 cases had finally no change; in 68 cases with abnormal X-ray imaging,67 cases were improved and 1 case had finally no change; in 38 cases with abnormal TCD results,24 cases turned to be normal,2 cases were improved,10 cases showed changes and 2 cases had finally no change;in 36 cases with abnormal cervical CDFI results,9 cases turned to be normal,10 cases were improved,15 cases showed changes and 2 cases had finally no change.The analysis of correlation between the changes of imaging and the efficacy showed:changes count by the value 0,r =0.388,t =3.500,P＜ 0.01 ; changes count by the value 0.5,t =0.361,t =3.211,P ＜0.01.Conclusions The efficacy of sympathetic cervical spondylosis has positive correlation with the changes of imaging and the causes of this disease are complex.So complete and well inspection can help the syndrome differentiation treatment and confirm the efficacy.