健康人群颈椎开口位X线表现调查

Research of open situation X-ray of cervical vertebra in healthy people

目的:研究被调查人群枢椎齿状突两侧间隙不等宽与C2棘突偏歪的发生率,分析开口位X线不同异常改变发生率与偏头痛发生率的差别。方法:350例被调查者,进行颈椎开口位X线检查,并对偏头痛症状进行问卷调查,男163例,女187例;年龄26～54岁,平均39.6岁;按年龄段分组,26～34岁94例,35～44岁103例,45～54岁153例。采用颈椎开口位X线异常改变发生率与偏头痛症状发生率对比的方法。结果:350例齿状突两侧间隙不等宽与C2棘突偏歪的发生率为32.28%。齿状突两侧间隙不等宽的程度与偏头痛发生率比较,差异无统计学意义(P>0.05)。C2棘突偏歪与偏头痛比较,差异有统计学意义(0.05>P>0.01)。结论:被调查人群齿状突两侧间隙不等宽与偏头痛发生率差异无统计学意义,作为诊断上颈段颈椎病的依据并不可靠。C2棘突偏歪与偏头痛关系,差异有统计学意义,对诊断颈源性头痛有很大的参考价值。

Objective：To investigate the incidence rate of the different width in two sides of vertebra and C2 spinal process tilt, and analyze the different incidence rate between the unusual change of open situation X-ray and migraine. Methods： Among the 350 investigators,testing the open situation X-ray of cervical vertebra and the questionnaire of migraine situation （163 male and 187 female with an average age of 39.6 years ranging from 26 to 54 years）. They were divided into several groups according to the age,including 94 people from 26 to 34 years,103 people from 35 to 44 years,153 people from 45 to 54 years. The method of contrasting the incidence rate of open situation X-ray with the rate of migraine was used. Results：Among the 350 investigated people,the incidence rate of the different width in two sides of vertebra and C2 spinal process tilt was 32.28%. The relationship between the different width in two sides of vertebra and the rate of migraine is not obvious（P〉0.05）. However,the relationship between C2 spinal process tilt and the migraine was obvious（0.05〉P〉0.01）. Conclusion：The difference between the different width in two sides of vertebra and the rate of migraine is not obvious in the investigated people,so it is not reliable to diagnose the illness as cervical vertebra disease. While the difference between the C2 spinal process tilt and the migraine is obvious,it is one of the reasons to diagnose the migraine.