CAJ | 학술논문

目的：利用高频超声研究项韧带退变与颈椎退变的关系。方法病例组63例，对照组57例，两组均进行中立位与45°前伸位项韧带高频超声扫描，观察项韧带形态、回声、最小横截面积变化率，将两组观察结果与相关测量数据进行对比分析。结果项韧带形态异常与颈椎退变密切相关，病例组与对照组比较，病例组项韧带整体增粗，回声增强；最小横截面积变化率Ⅰ、Ⅱ、Ⅳ段缩小，Ⅲ段增大，两组间差异有统计学意义(P<0.05)。结论超声作为经济、无创、方便快捷的影像检查方法，可以对项韧带异常作出准确的评估，可为颈椎病筛查及诊断提供重要的影像依据。
목적：이용고빈초성연구항인대퇴변여경추퇴변적관계。방법병례조63례，대조조57례，량조균진행중립위여45°전신위항인대고빈초성소묘，관찰항인대형태、회성、최소횡절면적변화솔，장량조관찰결과여상관측량수거진행대비분석。결과항인대형태이상여경추퇴변밀절상관，병례조여대조조비교，병례조항인대정체증조，회성증강；최소횡절면적변화솔Ⅰ、Ⅱ、Ⅳ단축소，Ⅲ단증대，량조간차이유통계학의의(P<0.05)。결론초성작위경제、무창、방편쾌첩적영상검사방법，가이대항인대이상작출준학적평고，가위경추병사사급진단제공중요적영상의거。
Objective To study the correlation between ligament degeneration and cervical degeneration with high-frequency ultrasound. Methods Sixty-three patients were enrolled in case group and 57 cases were en-rolled in control group. High-frequency ultrasound scanning was performed in two groups in both neutral and 45° pro-trusive positions. The nuchal ligament morphology, Echoes, minimum cross-sectional area change rate were compared between the two groups. Results The ligamentum nuchae morphology was closely related to the abnormality of cer-vical degeneration. Compared with the control group, the overall of former ligamentum in the case group became thickening and the echoes increased. SegmentⅠ,ⅡandⅣof minimum cross-sectional area change rate decreased, while sectionⅢof which increased with significant difference between the two groups (P<0.05). Conclusion Ultra-sound was an economic, convenient, non-invasive imaging method. It can make an accurate assessment of nuchal liga-ment abnormalities, and provide an important basis for screening and diagnosis of cervical spondylosis.