【摘要】：目的探討頸椎退行性疾病患者抬下頜及自然體位頸椎側(cè)位X線片測得的頸椎中立位曲度差異。方法選擇頸椎退行性疾病患者59例,均拍攝抬下頜及自然體位頸椎側(cè)位X線片。分別測量并比較兩種體位X線片O-C_2角及C_(2~7)角。結(jié)果抬下頜及自然體位X線片C_(2~7)角分別為-15.3°~50.2°(20.0°±13.4°)、-16.1°~38.2°(11.1°±11.8°),兩者比較P0.01;兩種體位C_(2~7)角差值為0.8°~26.6°(8.9°±6.1°),兩種體位C_(2~7)角度值呈正相關(guān)(r=0.890,P0.01)。抬下頜及自然體位O-C_2角分別為14.8°~46.8°(31.8°±6.0°)、11.1°~40.9°(27.0°±6.6°),兩者比較P0.01;兩種體位O-C_2角差值為-2.4°~12.4°(4.8°±3.3°),兩種體位O-C_2角度值呈正相關(guān)(r=0.873,P0.01)。結(jié)論頸椎退行性疾病患者抬下頜體位X線片測得的頸椎中立位曲度比實際增大;拍攝頸椎側(cè)位X線片時應(yīng)采用自然體位。
[Abstract]:Objective to investigate the difference of cervical spine neutral curvature between mandibular lifting and natural position in cervical degenerative diseases. Methods 59 patients with cervical degenerative diseases were studied. The O-C _ 2 and C _ (2 + 7) angles were measured and compared respectively. Results the angle of C _ (2O _ 7) was -15.3 擄/ 50.2 擄(20.0 擄鹵13.4 擄) and 38.2 擄(11.1 擄鹵11.8 擄), respectively, compared with that of P0.01.The angle difference between the two positions was 0.8 擄26.6 擄(8.9 擄鹵6.1 擄), and there was a positive correlation between the angle values of C _ (2) and C _ (2) (r _ (900.8P _ (0.01). The O-C _ 2 angle of mandibular lifting and natural position were 14.8 擄/ 46.8 擄(31.8 擄鹵6.0 擄) and 11.1 擄/ 40.9 擄(27.0 擄鹵6.6 擄) respectively, the difference of O-C _ 2 angle was -2.4 擄/ 12.4 擄(4.8 擄鹵3.3 擄), and the angle of O-C _ (2) was positively correlated with that of O-C _ (2) (r = 0.873p _ (0.01). Conclusion the curvature of neutral position of cervical vertebrae measured by X-ray radiography in cervical degenerative disease patients is larger than that of normal cervical vertebrae, and the natural posture should be used in the lateral position of cervical vertebrae.
【作者單位】： 北京積水潭醫(yī)院;
【基金】：北京市科學(xué)技術(shù)委員會資助項目(Z161100000516134) 北京市醫(yī)院管理局“青苗”計劃專項經(jīng)費資助(QML20160402)
【分類號】：R681.5
，

本文編號：2127268