發(fā)布時間：2018-09-02 09:50

【摘要】：[目的]探討頸椎主動屈曲位及背伸位活動度異常的X線征象篩查平山病的方法及其價值。 [方法]以30例經(jīng)臨床表現(xiàn)和頸椎主動曲屈位磁共振檢查明確診斷平山病患者為實驗組，30名正常志愿者為對照組，分別拍攝頸椎主動屈曲位及背伸位頸椎側位片。測量實驗組和對照組屈曲、背伸X線片上的C2-7相鄰兩兩椎體后緣的角度，作為頸椎活動度的評價指標。 [結果]實驗組C2-3、C3-4、C4-5、C5-6、C6-7、C2-7、C3-7頸椎屈曲角度較對照組增大，差異均有統(tǒng)計學意義(P0.05)，其中以C3-4、C4-5、C5-6、C6-7、C2-7、C3-7頸椎屈曲角度差異更顯著。實驗組各節(jié)段頸椎屈曲角度平均值分別為3.72°、8.34°、7.96°、10.79°、9.52°、39.42°、35.86°。實驗組頸椎背伸角度較對照組差異無統(tǒng)計學意義。將頸椎屈曲角度異常作為平山病篩查有效指標，以賦值后總分≥4分為陽性界值，其對于平山病診斷的敏感性為90.00%，特異性為86.67%。描繪受試者操作特征曲線(ROC)，曲線下面積為0.908。 [結論]平山病患者頸椎屈曲活動度在C2-7段均大于正常對照組，，背伸活動度較對照組無明顯差異。結合臨床癥狀與體征，頸椎主動屈曲位平片所反映的活動度異常征象對于平山病的診斷價值較高，在大范圍篩查、青少年學生體檢及無條件進行頸椎屈曲位MRI檢查的地區(qū)，該檢查可作為平山病的輔助診斷方法。
[Abstract]:[objective] to explore the method and value of X-ray sign screening for Pingshan disease in active flexion and extension of cervical spine. [methods] Thirty patients with Pingshan disease were diagnosed by clinical manifestation and magnetic resonance imaging (MRI), and 30 normal volunteers were selected as control group. Lateral cervical flexion and flexion were taken respectively. The angle of the posterior edge of C2-7 on the flexion and extension radiographs of the experimental group and the control group was measured as an index of cervical motion. [results] the cervical flexion angle of the experimental group was significantly higher than that of the control group (P0.05). The cervical flexion angle of the experimental group was more significant than that of the control group (P0.05). The cervical flexion angle of the experimental group was more significant than that of the control group (P0.05). The cervical flexion angle of the experimental group was higher than that of the control group (P0.05). The cervical flexion angle of the experimental group was higher than that of the control group (P0.05). The cervical flexion angle of the experimental group was more significant than that of the control group. The average flexion angle of each segment of cervical spine in the experimental group was 3.72 擄/ 8.34 擄/ 7.96 擄/ 10.79 擄/ 9.52 擄/ 39.42 擄/ 35.86 擄respectively. There was no significant difference between the experimental group and the control group. The cervical flexion angle abnormality was regarded as an effective index for screening Pingshan disease, and the total score 鈮

本文編號：2218995