CT三维重建青少年颈椎钩突与椎体各结构的相关性

发布时间：2018-06-29 20:03

本文选题：青少年 + 颈椎　；参考：《中国组织工程研究》2017年03期

【摘要】：背景:随着现代生活习惯的改变,使得颈椎病和颈椎相关疾病的发病愈来愈趋于低龄化,基于这一特征,探讨青少年颈椎钩突和椎体间的关系和规律特征,可为颈椎病的早期诊断与预防、治疗提供理论依据。目的:对青少年颈椎钩突与椎体和椎间孔间相关结构进行相关性分析。方法:选取无外伤、无神经症状和体征的6-20岁青少年66例,行多排螺旋CT薄层扫描,范围C1-T1,将原始数据以DICOM格式导入三维重建软件进行相关指标测量和后期统计分析。结果与结论:(1)除钩突高与椎体中高无显著相关性外,钩突间距与椎体上横径、钩突基底宽与椎体上横径、钩突基底长与椎体上矢径之间均存在正相关性(P0.05);(2)除椎间孔宽与钩突高以及椎间孔宽与钩突基底宽间无相关性外,钩突高与椎间孔高、钩突基底长与椎间孔高、钩突基底长与椎间孔宽、钩突基底宽与椎间孔高之间均存在正相关性(P0.05);(3)结果说明,青少年颈椎钩椎关节中钩突与椎体和椎间孔之间存在着一定的相关性,随着年龄的增长、颈椎活动度的增加及脊柱的生长发育,钩突增生、外伤、骨折等因素均可压迫椎间孔内的脊神经从而引起相应的神经根型颈椎病。
[Abstract]:Background: with the change of modern living habits, the incidence of cervical spondylosis and cervical vertebrae related diseases is becoming younger and younger. Based on this feature, the relationship and regularity between the cervical uncinate process and the vertebral body in adolescents are discussed. It can provide theoretical basis for early diagnosis, prevention and treatment of cervical spondylosis. Objective: to analyze the correlation between cervical uncinate process, vertebral body and intervertebral foramen. Methods: 66 young people aged 6-20 years without trauma and no neurological symptoms and signs were selected and scanned with multi-slice spiral CT with a range of C1-T1. The original data were imported into 3D reconstruction software with DICOM format for measurement and statistical analysis. Results and conclusion: (1) there was no significant correlation between the height of the uncinate process and the height of the vertebral body, the distance between the uncinate process and the transverse diameter of the upper vertebral body, the width of the base of the uncinate process and the transverse diameter of the upper body of the vertebral body. There was a positive correlation between the length of the uncinate process and the superior sagittal diameter of the vertebral body (P0.05); (2). Except for the width of the intervertebral foramina and the height of the uncinate process, the height of the uncinate process and the height of the intervertebral foramen, the length of the uncinate process and the height of the intervertebral foramina. There was a positive correlation between the basal length of the uncinate process and the width of the intervertebral foramina, the width of the uncinate process and the height of the intervertebral foramina (P0.05); (3). The increase of cervical movement, the growth and development of the spine, the proliferation of uncinate process, trauma, fracture and so on can compress the spinal nerve in the intervertebral foramen and cause the corresponding cervical spondylosis of nerve root type.
【作者单位】：内蒙古医科大学基础医学院人体解剖学教研室;内蒙古医科大学数字医学中心;内蒙古医科大学基础医学院生理学教研室;内蒙古自治区人民医院急诊外科;
【基金】：国家自然科学基金资助项目(81260269,81560348,81660358) 内蒙古自治区高等学校科学研究资助项目(NJZC16108) 内蒙古医科大学科技百万项目(2015YKDKJBW03);内蒙古医科大学实验室开放基金(2016ZN24) 内蒙古自治区人民医院院内科研基金资助项目(2015067)~~
【分类号】：R726.8

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