中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2014年
8期
780-784
,共5页
尹伦辉%敖晓龙%沈彤%梁伟坚%曾丽娴%李丽%谌凌燕%吴泽勇%许伟丹
尹倫輝%敖曉龍%瀋彤%樑偉堅%曾麗嫻%李麗%諶凌燕%吳澤勇%許偉丹
윤륜휘%오효룡%침동%량위견%증려한%리려%심릉연%오택용%허위단
儿童%颈性眩晕%颈椎X线片检查%经颅多普勒超声%关节紊乱
兒童%頸性眩暈%頸椎X線片檢查%經顱多普勒超聲%關節紊亂
인동%경성현훈%경추X선편검사%경로다보륵초성%관절문란
children%cervical vertigo%cervical X-ray imaging examination%transcranial Doppler%joint disorders
目的:分析颈性眩晕儿童的颈椎X线片及经颅多普勒超声(TCD)特征,探讨发病机理。方法对80例颈性眩晕儿童进行颈椎X线片及TCD检查,分析其特点。结果本组患儿的颈椎X线片异常主要为寰枢椎或/和C2、C3椎关节紊乱,可并发颈椎失稳、颈曲变直甚至颈曲反弓、颈轴侧弯;异常TCD表现以单支或多支动脉血流速度增快为主,少数表现为单支或多支动脉血流速度减慢及双侧血流速度不对称。结论儿童颈性眩晕的病变部位主要在寰枢椎或/和C2、C3椎,发病机制主要为寰枢椎或/和C2、C3椎间多种形式的关节紊乱。
目的:分析頸性眩暈兒童的頸椎X線片及經顱多普勒超聲(TCD)特徵,探討髮病機理。方法對80例頸性眩暈兒童進行頸椎X線片及TCD檢查,分析其特點。結果本組患兒的頸椎X線片異常主要為寰樞椎或/和C2、C3椎關節紊亂,可併髮頸椎失穩、頸麯變直甚至頸麯反弓、頸軸側彎;異常TCD錶現以單支或多支動脈血流速度增快為主,少數錶現為單支或多支動脈血流速度減慢及雙側血流速度不對稱。結論兒童頸性眩暈的病變部位主要在寰樞椎或/和C2、C3椎,髮病機製主要為寰樞椎或/和C2、C3椎間多種形式的關節紊亂。
목적:분석경성현훈인동적경추X선편급경로다보륵초성(TCD)특정,탐토발병궤리。방법대80례경성현훈인동진행경추X선편급TCD검사,분석기특점。결과본조환인적경추X선편이상주요위환추추혹/화C2、C3추관절문란,가병발경추실은、경곡변직심지경곡반궁、경축측만;이상TCD표현이단지혹다지동맥혈류속도증쾌위주,소수표현위단지혹다지동맥혈류속도감만급쌍측혈류속도불대칭。결론인동경성현훈적병변부위주요재환추추혹/화C2、C3추,발병궤제주요위환추추혹/화C2、C3추간다충형식적관절문란。
Objective To analyze the features of cervical vertebra X-ray examination and transcranial Doppler (TCD) in children with cervical vertigo, and investigate the mechanism of the disease. Methods X-ray examination of cervical vertebra and TCD were performed on 80 children with cervical vertigo, and the features of the results were analyzed. Results The abnormal results of cervical X-ray examina-tion mainly showed atlantoaxial joint or/and C2, C3 vertebral joint disorders, some of which combined with cervical instability, cervical cur-vature straightened and even reverse curvature, cervical scoliosis. The abnormal results of TCD showed the blood flow velocity in single or multiple branch of artery increased mainly, some of which decreased or became asymmetrial. Conclusion The cervical vertigo in children may result from various kinds of disorders of the atlas, axis or/and C2, C3 vertebrae.