摘要
目的探索脊柱小关节紊乱的发生机制,提高脊柱小关节紊乱影像学诊断的准确性,减慢脊柱退行性骨关节病的发生。方法回顾性分析300例15—45岁年龄组脊柱小关节紊乱引起颈、胸、腰背部酸痛患者的脊椎x线平片或CT平扫或MRI资料。结果脊柱小关节紊乱主要是姿势不当、长期慢性劳损或脊柱或小关节发育畸形致脊柱侧弯畸形或先天椎小关节不对称造成小关节病变所致,有其典型椎小关节不对称、关节面笔样增生硬化及周围软组织非特异炎性改变等影像学表现,随着年龄增长小关节病变加重。结论脊柱小关节紊乱在影像学上可以明确诊断及鉴别诊断,x线检查仍是检查诊断椎小关节紊乱的重要手段,CT及MRI可以更清楚显示椎小关节及其周围软组织的改变,还可以鉴别椎间盘突出性改变或其他原因引起的病患,对整脊治疗有良好效果。
Objective To investigate the pathogenetic mechanism of the spinal facet joint disor- der and improve the accuracy of imaging diagnosis to reduce the possibility of spinal degenerative osteoar- thropathy(DO). Methods The spinal X-ray plain film, CT and MRI images of 300 cases from 15 to 45 years old with muscle soreness in neck, chest and back caused by spinal small joint disorder were retro- spectively analyzed. Results The results showed that this disease was mainly caused by improper pos- ture, long-term spinal joint chronic strain, scoliosis by spinal or small joint developmental malformation and joint change resulted by spinal joint asymmetry, which had clinical manifestation shown by the ima- ging like typical spinal joint asymmetry, pen type hyperostosis osteosclerosis for articular surface and non- specific inflammation of its surrounding soft tissue. Moreover, the facet joint will be deteriorated with the age of the patients. Conclusions The imaging could be used for spinal facet joint disorder diagnosis (definite diagnosis and differential diagnosis), and X-ray examination is still a very important method.Meanwhile, CT and MRI images can show us the change of spinal facet joint and the surrounding soft tissue more clearly and identify the change of the herniated disk as caused by other reasons. And the spinal rotation massage method has good effects.
出处
《中国实用医刊》
2013年第16期3-5,共3页
Chinese Journal of Practical Medicine
关键词
脊柱小关节
紊乱
影像学诊断
整脊疗法
Spine facet joint
Disorder
Imaging diagnosis
Spinal rotation well as the diseases massage