颈椎退行性疾病患者抬下颌及自然体位颈椎侧位X线片颈椎中立位曲度差异

发布时间：2018-07-16 18:31

【摘要】：目的探讨颈椎退行性疾病患者抬下颌及自然体位颈椎侧位X线片测得的颈椎中立位曲度差异。方法选择颈椎退行性疾病患者59例,均拍摄抬下颌及自然体位颈椎侧位X线片。分别测量并比较两种体位X线片O-C_2角及C_(2~7)角。结果抬下颌及自然体位X线片C_(2~7)角分别为-15.3°~50.2°(20.0°±13.4°)、-16.1°~38.2°(11.1°±11.8°),两者比较P0.01;两种体位C_(2~7)角差值为0.8°~26.6°(8.9°±6.1°),两种体位C_(2~7)角度值呈正相关(r=0.890,P0.01)。抬下颌及自然体位O-C_2角分别为14.8°~46.8°(31.8°±6.0°)、11.1°~40.9°(27.0°±6.6°),两者比较P0.01;两种体位O-C_2角差值为-2.4°~12.4°(4.8°±3.3°),两种体位O-C_2角度值呈正相关(r=0.873,P0.01)。结论颈椎退行性疾病患者抬下颌体位X线片测得的颈椎中立位曲度比实际增大;拍摄颈椎侧位X线片时应采用自然体位。
[Abstract]:Objective to investigate the difference of cervical spine neutral curvature between mandibular lifting and natural position in cervical degenerative diseases. Methods 59 patients with cervical degenerative diseases were studied. The O-C _ 2 and C _ (2 + 7) angles were measured and compared respectively. Results the angle of C _ (2O _ 7) was -15.3 掳/ 50.2 掳(20.0 掳卤13.4 掳) and 38.2 掳(11.1 掳卤11.8 掳), respectively, compared with that of P0.01.The angle difference between the two positions was 0.8 掳26.6 掳(8.9 掳卤6.1 掳), and there was a positive correlation between the angle values of C _ (2) and C _ (2) (r _ (900.8P _ (0.01). The O-C _ 2 angle of mandibular lifting and natural position were 14.8 掳/ 46.8 掳(31.8 掳卤6.0 掳) and 11.1 掳/ 40.9 掳(27.0 掳卤6.6 掳) respectively, the difference of O-C _ 2 angle was -2.4 掳/ 12.4 掳(4.8 掳卤3.3 掳), and the angle of O-C _ (2) was positively correlated with that of O-C _ (2) (r = 0.873p _ (0.01). Conclusion the curvature of neutral position of cervical vertebrae measured by X-ray radiography in cervical degenerative disease patients is larger than that of normal cervical vertebrae, and the natural posture should be used in the lateral position of cervical vertebrae.
【作者单位】： 北京积水潭医院;
【基金】：北京市科学技术委员会资助项目(Z161100000516134) 北京市医院管理局“青苗”计划专项经费资助(QML20160402)
【分类号】：R681.5
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本文编号：2127268