X线征象筛查平山病的方法及其价值
发布时间：2018-09-02 09:50
【摘要】：[目的]探讨颈椎主动屈曲位及背伸位活动度异常的X线征象筛查平山病的方法及其价值。 [方法]以30例经临床表现和颈椎主动曲屈位磁共振检查明确诊断平山病患者为实验组，30名正常志愿者为对照组，分别拍摄颈椎主动屈曲位及背伸位颈椎侧位片。测量实验组和对照组屈曲、背伸X线片上的C2-7相邻两两椎体后缘的角度，作为颈椎活动度的评价指标。 [结果]实验组C2-3、C3-4、C4-5、C5-6、C6-7、C2-7、C3-7颈椎屈曲角度较对照组增大，差异均有统计学意义(P0.05)，其中以C3-4、C4-5、C5-6、C6-7、C2-7、C3-7颈椎屈曲角度差异更显著。实验组各节段颈椎屈曲角度平均值分别为3.72°、8.34°、7.96°、10.79°、9.52°、39.42°、35.86°。实验组颈椎背伸角度较对照组差异无统计学意义。将颈椎屈曲角度异常作为平山病筛查有效指标，以赋值后总分≥4分为阳性界值，其对于平山病诊断的敏感性为90.00%，特异性为86.67%。描绘受试者操作特征曲线(ROC)，曲线下面积为0.908。 [结论]平山病患者颈椎屈曲活动度在C2-7段均大于正常对照组，，背伸活动度较对照组无明显差异。结合临床症状与体征，颈椎主动屈曲位平片所反映的活动度异常征象对于平山病的诊断价值较高，在大范围筛查、青少年学生体检及无条件进行颈椎屈曲位MRI检查的地区，该检查可作为平山病的辅助诊断方法。
[Abstract]:[objective] to explore the method and value of X-ray sign screening for Pingshan disease in active flexion and extension of cervical spine. [methods] Thirty patients with Pingshan disease were diagnosed by clinical manifestation and magnetic resonance imaging (MRI), and 30 normal volunteers were selected as control group. Lateral cervical flexion and flexion were taken respectively. The angle of the posterior edge of C2-7 on the flexion and extension radiographs of the experimental group and the control group was measured as an index of cervical motion. [results] the cervical flexion angle of the experimental group was significantly higher than that of the control group (P0.05). The cervical flexion angle of the experimental group was more significant than that of the control group (P0.05). The cervical flexion angle of the experimental group was more significant than that of the control group (P0.05). The cervical flexion angle of the experimental group was higher than that of the control group (P0.05). The cervical flexion angle of the experimental group was higher than that of the control group (P0.05). The cervical flexion angle of the experimental group was more significant than that of the control group. The average flexion angle of each segment of cervical spine in the experimental group was 3.72 掳/ 8.34 掳/ 7.96 掳/ 10.79 掳/ 9.52 掳/ 39.42 掳/ 35.86 掳respectively. There was no significant difference between the experimental group and the control group. The cervical flexion angle abnormality was regarded as an effective index for screening Pingshan disease, and the total score 鈮
本文编号：2218995
[Abstract]:[objective] to explore the method and value of X-ray sign screening for Pingshan disease in active flexion and extension of cervical spine. [methods] Thirty patients with Pingshan disease were diagnosed by clinical manifestation and magnetic resonance imaging (MRI), and 30 normal volunteers were selected as control group. Lateral cervical flexion and flexion were taken respectively. The angle of the posterior edge of C2-7 on the flexion and extension radiographs of the experimental group and the control group was measured as an index of cervical motion. [results] the cervical flexion angle of the experimental group was significantly higher than that of the control group (P0.05). The cervical flexion angle of the experimental group was more significant than that of the control group (P0.05). The cervical flexion angle of the experimental group was more significant than that of the control group (P0.05). The cervical flexion angle of the experimental group was higher than that of the control group (P0.05). The cervical flexion angle of the experimental group was higher than that of the control group (P0.05). The cervical flexion angle of the experimental group was more significant than that of the control group. The average flexion angle of each segment of cervical spine in the experimental group was 3.72 掳/ 8.34 掳/ 7.96 掳/ 10.79 掳/ 9.52 掳/ 39.42 掳/ 35.86 掳respectively. There was no significant difference between the experimental group and the control group. The cervical flexion angle abnormality was regarded as an effective index for screening Pingshan disease, and the total score 鈮
本文编号：2218995
本文链接：https://www.wllwen.com/yixuelunwen/yundongyixue/2218995.html
最近更新
教材专著
