中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
16期
3-5
,共3页
脊柱小关节%紊乱%影像学诊断%整脊疗法
脊柱小關節%紊亂%影像學診斷%整脊療法
척주소관절%문란%영상학진단%정척요법
Spine facet joint%Disorder%Imaging diagnosis%Spinal rotation massage
目的 探索脊柱小关节紊乱的发生机制,提高脊柱小关节紊乱影像学诊断的准确性,减慢脊柱退行性骨关节病的发生.方法 回顾性分析300例15～45岁年龄组脊柱小关节紊乱引起颈、胸、腰背部酸痛患者的脊椎X线平片或CT平扫或MRI资料.结果 脊柱小关节紊乱主要是姿势不当、长期慢性劳损或脊柱或小关节发育畸形致脊柱侧弯畸形或先天椎小关节不对称造成小关节病变所致,有其典型椎小关节不对称、关节面笔样增生硬化及周围软组织非特异炎性改变等影像学表现,随着年龄增长小关节病变加重.结论 脊柱小关节紊乱在影像学上可以明确诊断及鉴别诊断,X线检查仍是检查诊断椎小关节紊乱的重要手段,CT及MRI可以更清楚显示椎小关节及其周围软组织的改变,还可以鉴别椎间盘突出性改变或其他原因引起的病患,对整脊治疗有良好效果.
目的 探索脊柱小關節紊亂的髮生機製,提高脊柱小關節紊亂影像學診斷的準確性,減慢脊柱退行性骨關節病的髮生.方法 迴顧性分析300例15～45歲年齡組脊柱小關節紊亂引起頸、胸、腰揹部痠痛患者的脊椎X線平片或CT平掃或MRI資料.結果 脊柱小關節紊亂主要是姿勢不噹、長期慢性勞損或脊柱或小關節髮育畸形緻脊柱側彎畸形或先天椎小關節不對稱造成小關節病變所緻,有其典型椎小關節不對稱、關節麵筆樣增生硬化及週圍軟組織非特異炎性改變等影像學錶現,隨著年齡增長小關節病變加重.結論 脊柱小關節紊亂在影像學上可以明確診斷及鑒彆診斷,X線檢查仍是檢查診斷椎小關節紊亂的重要手段,CT及MRI可以更清楚顯示椎小關節及其週圍軟組織的改變,還可以鑒彆椎間盤突齣性改變或其他原因引起的病患,對整脊治療有良好效果.
목적 탐색척주소관절문란적발생궤제,제고척주소관절문란영상학진단적준학성,감만척주퇴행성골관절병적발생.방법 회고성분석300례15～45세년령조척주소관절문란인기경、흉、요배부산통환자적척추X선평편혹CT평소혹MRI자료.결과 척주소관절문란주요시자세불당、장기만성로손혹척주혹소관절발육기형치척주측만기형혹선천추소관절불대칭조성소관절병변소치,유기전형추소관절불대칭、관절면필양증생경화급주위연조직비특이염성개변등영상학표현,수착년령증장소관절병변가중.결론 척주소관절문란재영상학상가이명학진단급감별진단,X선검사잉시검사진단추소관절문란적중요수단,CT급MRI가이경청초현시추소관절급기주위연조직적개변,환가이감별추간반돌출성개변혹기타원인인기적병환,대정척치료유량호효과.
Objective To investigate the pathogenetic rmechanism of the spinal facet joint disorder and improve the accuracy of imaging diagnosis to reduce the possibility of spinal degenerative osteoarthropathy(DO).Methods The spinal X-ray plain film,CT and MRI images of 300 cases from 15 to 45 years old with muscle soreness in neck,chest and back caused by spinal small joint disorder were retrospectively analyzed.Results The results showed that this disease was mainly caused by improper posture,long-term spinal joint chronic strain,scoliosis by spinal or small joint developmental malformation and joint change resulted by spinal joint asymmetry,which had clinical manifestation shown by the imaging like typical spinal joint asymmetry,pen type hyperostosis oseosclerosis for articular surface and nonspecific inflammation of its surrounding soft tissue.Moreover,the facet joint will be deteriorated with the age of the patients.Conclusions The imaging could be used for spinal facet joint disorder diagnosis (definite diagnosis and differential diagnosis),and X-ray examination is still a very important method.Meanwhile,CT and MRI images can show us the change of spinal facet joint and the surrounding soft tissue more clearly and identify the change of the herniated disk as well as the diseases caused by other reasons.And the spinal rotation massage method has good effects.
