动态X光片在颈椎病早期诊断中的临床研究

Clinical study of dynamic radiograph in early diagnosis of cervical vertebra diseases

目的:通过颈椎病患者颈椎X光动态张口位及动态侧位片的观察,分析其与颈椎病早期诊断的关系。方法:通过对60位各型颈椎病患者动态张口位及动态侧位片的观察,并与20位正常人比较,观察其结果。结果:1正常人及颈椎病患者动态张口位寰、枢椎体间位置改变无规律性;260位颈椎侧位片中,水平位移者6人,角位移者8人;前屈侧位片中水平位移者24人,角位移者30人,其中12人同时并有水平及角位移两种影像学改变。其出现率与侧位片比较有显著性差异。且多见于神经根型颈椎病患者;结论:1张口位及动态张口位中寰、枢椎间位移的改变不能作为早期诊断寰、枢关节错位或半脱位的指标;2动态侧位片的观察有助于颈椎失稳及颈椎病的早期诊断。

Objective：To analyze the relationship between these radiographs and early diagnosis of the cervical vertebra diseases by observing the dynamic mouth-opening and lateral radiographs of the patients with cervical vertebra diseases, Methods：To observe the result by observing the dynamic mouth-opening and lateral radiographs of 60 patients with cervi- cal vertebra diseases and comparing them with those of 20 healthy people. Results：①There was irregularity in changing both the healthy and the patient＇s dynamic mouth-opening atlas and epistropheus position. ② 60 lateral radiographs of cervical vertebra, 6 had horizontal displacement and 8 angular displacement. Of anteflexed lateral radiographs, 24 had horizontal displacement and 30 angular displacement. 12 had both horizontal and angular displacement. There was a great difference compared to the lateral radiographs. And it was often found in the patients with nerve root cervical vertebra dis easesConclusions：① The change of the mouth-opening and the dynamic mouth-opening atlas and epistropheus position couldn＇t be used as an index to early diagnose the articulatio atlantoepistrophica dislocation and half dislocation. ② The observation of the dynamic lateral radiographs helps the early diagnosis of cervical vertebra un stability and of cervical vertebra diseases KEY WORDS Dynamic radiograph Cervical vertebra diseases Early diagnosis