6种颈椎曲度测量方法的可信度及可重复性比较

发布时间：2018-07-05 14:53

本文选题：颈椎 + 曲度　；参考：《中国脊柱脊髓杂志》2015年04期

【摘要】：目的 :比较6种颈椎曲度测量方法的可信度及可重复性。方法 :随机选取在我科接受颈椎X线检查的80例患者进行标准颈椎侧位拍片,由3名放射科医生采用基于距离[1Borden氏测量法;2颈椎曲度指数(CCI)法;3椎体质心测量法(CCL)测量方法]和基于角度(1C1-C7 Cobb角测量法;2C2-C7 Cobb角测量法;3Harrison氏测量法)共6种测量方法分别测量颈椎曲度。以2周为间隔分别独自测量两次,对测量结果进行统计分析。结果:6种测量方法均具有良好的可信度(r=0.752~0.968)和可重复性(r=0.703~0.915)。基于距离的测量方法中可信度以Borden氏测量法最高(r=0.938~0.968),其次为CCL法(r=0.855~0.908)及CCI法(r=0.775~0.821);可重复性以Borden氏测量法最好(r=0.888~0.915),其次为CCI法(r=0.819~0.862)及CCL法(r=0.810~0.859)。基于角度的测量方法中可信度以C2-C7 Cobb角测量法最高(r=0.871~0.895),其次为Harrison氏法(r=0.830~0.885)及C1-C7 Cobb角测量法(r=0.752~0.836);可重复性以Harrison氏法最好(r=0.868~0.880),其次为C2-C7 Cobb角测量法(r=0.859~0.876)及C1-C7 Cobb角测量法(r=0.703~0.837)。结论 :6种不同的颈椎曲度测量方法均具有良好的可信度及可重复性。基于距离的曲度测量方法以Borden氏测量法可信度及可重复性最好,基于角度的曲度测量方法以C2-C7 Cobb角测量法可信度最高,以Harrison氏法可重复性最好。
[Abstract]:Objective: to compare the reliability and repeatability of six cervical curvature measurement methods. Methods: a total of 80 patients undergoing cervical X-ray examination in our department were randomly selected to take standard lateral radiographs of cervical vertebrae. A total of 6 measurements were performed by three radiologists based on distance [1Borden's method / 2 cervical curvature index (CCI)] and angle based (1C1-C7 Cobb angle measurement / 2C2-C7 Cobb angle measurement / 3Harrison's method). Methods the curvature of cervical spine was measured. The two-week interval were measured separately and the results were statistically analyzed. Results all of the six methods had good reliability (r = 0.7520.968) and repeatability (r = 0.703 / 0.915). Borden's method was the most reliable (r _ (0.938) ~ (0.968), CCL (r _ (0.855) ~ (0.908) and CCI (r _ (0.775) ~ (0.821), Borden's method (r _ (0.8880.915), CCI (r _ (0.819) ~ (0.862) and CCL (r ~ 0.810 ~ (0.859). C2-C7 Cobb angle measurement method was the most reliable (r _ 2-C _ 7 Cobb angle measurement method) (r _ (0.871) ~ (0.895), followed by Harrison's method (r _ (0.830) ~ (0.885) and C _ (1-C _ 7) Cobb angle measurement (r _ (0.752) ~ (0.836), Harrison's method was the best (r _ 0.8680.880), C _ 2-C _ (7) Cobb angle measurement (r _ (0.859) ~ (0.876) and C _ (1-C _ 7) Cobb angle measurement (r _ (0.7030.837). Conclusion all 6 different methods of cervical curvature measurement have good reliability and repeatability. Borden's method is the most reliable and repeatable method based on distance, C2-C7 Cobb angle method is the most reliable and Harrison's method is the best.
【作者单位】：陕西省人民医院放射科;陕西省人民医院骨二科;
【基金】：陕西省科学技术研究发展计划项目(2011K14-08-02)
【分类号】：R681.55;R816.8

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