颈椎病的X线平片诊断356例分析

X-ray Diagnosis of Cervical Spondylosis:An Analysis of 356 Cases

目的探讨颈椎病的X线平片征象、病理过程以及X线平片对颈椎病的诊断价值。方法收集资料齐全的颈椎病356例进行回顾性分析。结果椎体骨刺309例占87%;钩椎关节退变224例占63%;椎间盘狭窄151例占42.5%;椎间孔狭窄285例占62%;颈椎曲线改变217例占61%;颈部韧带钙化106例占29.8%。结论椎体骨刺、钩椎关节退变、椎间盘及椎间孔狭窄是颈椎病的重要征象。X线平片对颈椎病的诊断有重要价值,正位、侧位及斜位均不可偏废。

Objective To discuss X-ray signs and the pathological process of cervical spondylosis as well as the value of X-ray diagnosis of the disease. Methods Complete information on 356 cases of cervical spondylosis was analyzed retrospectively. Results There were 309 cases of vertebral spur, accounting for 87% ; 224 cases of Luschka joint degeneration, accounting for 63% ; 151 cases of disc stenosis, accounting for 42.5%;285 cases of foraminal stenosis,accounting for 62%; 217 cases of cervical curve changes,accounting for 61%;106 cases of neck ligament calcification, accounting for 29.8%. Conclusion Vertebral bone spur, Luschka joint degeneration and disc and foraminal stenosis are important signs of cervical spondylosis. X-ray diagnosis of cervical disease has an important value,and anteroposterior,lateral and oblique X-ray plain films cannot be neglected.