中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
5期
108-109
,共2页
下颈椎%关节突关节%倾角%影像学观测%临床意义
下頸椎%關節突關節%傾角%影像學觀測%臨床意義
하경추%관절돌관절%경각%영상학관측%림상의의
Lower cervical%Zygapophyseal joint%Dip angle%Imaging observation%Clinical significance
目的：观测下颈椎关节突关节的影像特点，分析探讨其在临床治疗中的意义。方法：随机选取66例颈椎正常的志愿者进行X线、螺旋CT、三维立体等影像学检测，观察其下颈椎关节突关节的形态特点，以及关节突关节角度、关节面的曲度、关节三维空间的角度等信息，记录并分析统计资料，探讨影像学观测对临床治疗的意义。结果：从横轴面角度观测，整个下颈椎呈对称曲凸形分布，以 C5为节点，C5～C7关节面曲度逐渐趋于平缓(P＜0.05)， C3～C7各关节间关节面夹角均接近直角。而从矢状面角度观测，下颈椎关节突关节以C5为中心，越靠近C5关节突的关节倾角越接近45°。结论：正常人下颈椎各关节突关节在横轴面、矢状面等角度进行影像学观测具有一定特点，能够为临床诊断和治疗颈椎病提供指导。
目的：觀測下頸椎關節突關節的影像特點，分析探討其在臨床治療中的意義。方法：隨機選取66例頸椎正常的誌願者進行X線、螺鏇CT、三維立體等影像學檢測，觀察其下頸椎關節突關節的形態特點，以及關節突關節角度、關節麵的麯度、關節三維空間的角度等信息，記錄併分析統計資料，探討影像學觀測對臨床治療的意義。結果：從橫軸麵角度觀測，整箇下頸椎呈對稱麯凸形分佈，以 C5為節點，C5～C7關節麵麯度逐漸趨于平緩(P＜0.05)， C3～C7各關節間關節麵夾角均接近直角。而從矢狀麵角度觀測，下頸椎關節突關節以C5為中心，越靠近C5關節突的關節傾角越接近45°。結論：正常人下頸椎各關節突關節在橫軸麵、矢狀麵等角度進行影像學觀測具有一定特點，能夠為臨床診斷和治療頸椎病提供指導。
목적：관측하경추관절돌관절적영상특점，분석탐토기재림상치료중적의의。방법：수궤선취66례경추정상적지원자진행X선、라선CT、삼유입체등영상학검측，관찰기하경추관절돌관절적형태특점，이급관절돌관절각도、관절면적곡도、관절삼유공간적각도등신식，기록병분석통계자료，탐토영상학관측대림상치료적의의。결과：종횡축면각도관측，정개하경추정대칭곡철형분포，이 C5위절점，C5～C7관절면곡도축점추우평완(P＜0.05)， C3～C7각관절간관절면협각균접근직각。이종시상면각도관측，하경추관절돌관절이C5위중심，월고근C5관절돌적관절경각월접근45°。결론：정상인하경추각관절돌관절재횡축면、시상면등각도진행영상학관측구유일정특점，능구위림상진단화치료경추병제공지도。
Objective:To observe imaging features of lower cervical zygapophyseal joint,to analyze and explore its significance in the clinical treatment.Methods:66 cases of cervical spine normal volunteers were given X-ray,spiral CT and three-dimensional and other imaging detections.The morphological characteristics,joint prominent joint angle,joint surface curvature and joint three dimensional space angle were observed.The data were recorded and statistically analyzed.The significance of imaging observation on the clinical treatment was explored.Results:From the transverse plane angle to observe,the lower cervical was symmetrical curved convex distribution, with C5 as the node,C5~C7 joint surface curvature gradually flatten(P<0.05),C3~C7 joint surface angles between each joint were nearly right angle.From the sagital section angle to observe,lower cervical zygapophyseal joint had C5 as the center,the more close to the C5 zygopophysis joint angle was close to 45°.Conclusion:The lower cervical zygapophyseal joint of average person has certain characteristics from the transverse plane and sagital section angle imaging observation,which can provide guidance for clinical diagnosis and treatment of cervical spondylosis.
