X 线检查在颈椎病早期诊断中的临床价值分析

万方

（洛南县医院放射科，陕西 商洛，726100）

浏览次数：100次 下载次数：327次

摘要：

目的 探究X 线检查在颈椎病早期诊断中的效果及临床价值。方法 选取我院2015 年3 月至2016 年3 月收治的颈椎 病患者50 例作为试验组。选取同期在我院进行体检的健康者50 例作为参照组。对所有研究对象进行颈椎张口位、颈椎侧位 片以及前屈侧位片的检查。比较两组检查结果。结果 试验组的齿突和枢椎棘突轴钳不重叠率明显高于参照组，差异具有统 计学意义（P<0.05）。两组的齿突和两侧块间距不等宽及左右旋转环枢关系反常率比较，差异均无统计学意义（P>0.05）。试验 组的前屈侧位片成角位移及水平位移明显高于对照组，差异均具有统计学意义（P<0.05）。两组的侧位片成角位移及水平位 移比较，差异均无统计学意义（P>0.05）。结论 通过对颈椎病患者进行动态侧位X 线片检查，有助于对颈椎病和颈椎失稳情 况进行早期判断，同时有助于患者及早治疗，且对于早期出现的寰、枢关节半错位或者是错误诊断不能仅仅根据动态张口位 中寰以及枢椎间位移变化的情况进行诊断，这一研究对于临床诊断具有参考价值。

关键词：颈椎病；早期诊断；X 线检查

中图分类号：R681.53 文献标志码：A文章编号：2096-1413(2018)02-0134-02

Clinical value analysis of X-ray examination in early diagnosis of cervical spondylosis


WAN Fang
(Radiology Department, the Hospital of Luonan County, Shangluo 726100, China)

ABSTRACT: Objective To explore the effect and clinical value of X -ray examination in early diagnosis of cervical spondylosis. Methods Fifty cases of patients with cervical spondylosis admitted in our hospital from March 2015 to March 2016 were selected as the experimental group. A total of 50 cases of healthy persons who examined in our hospital during the same period were selected as the reference group. All the subjects were examined for the cervical spine opening position, the lateral cervical spine, the anterior flexion and lateral radiograph. The examination results of the two groups were compared. Results The rate of the axis spinous axis clamp non -overlapping in the experimental group was significantly higher than that in the reference group, and the difference was statistically significant (P<0.05). The rates of tooth spacing range wide and the abnormal probability of the block and around swivel pivot relationship in both sides between the two groups were compared, the differences were not statistically significant (P>0.05). The angular displacement and horizontal displacement of the anteflexed lateral radiographs in the experimental group were significantly higher than those in the reference group, and the differences were statistically significant (P<0.05). There were no significant differences in the angular displacement and horizontal displacement of the lateral projection between the two groups (P >0.05). Conclusion The dynamic lateral radiographs of patients with cervical spondylosis can be helpful for early diagnosis of cervical spondylosis and cervical instability, and it is helpful for early treatment of patients. And for the early onset of the atlas semi -misalignment or misdiagnosis, it can not be diagnosed just based on the dynamic change of atlas and axis between the mouth opening displacement situation, this research has reference value for the clinical diagnose.
KEYWORDS: cervical spondylosis; early diagnosis; X-ray examination

参考文献：
[1] 方学文.X 线检查在颈椎病早期诊断中的临床价值[J].医学信息,2014,27(35):387-388.
[2] 景晨.X 线检查用于颈椎病早期诊断中的临床价值分析[J].临床合理用药杂志,2013,6(34):83.
[3] 陈文德.X 线检查在颈椎病早期诊断中的价值[J].吉林医学,2010,31(22):3763.
[4] 艾孜买提·艾尼瓦尔,张振国.X 线在颈椎病早期诊断中的价值[J].医学信息,2016,29(10):80,81.
[5] 雷晓勇,郭鹏.不同诊断方法对颈椎病诊断结果的影响探讨[J].中国继续医学教育,2016,8(21):50-51.
[6] XU M,LI X,WANG J,et al.Application of a new combined model in原 cluding radiological indicators to predict difficult airway in patientsundergoing surgery for cervical spondylosis[J].Chin Med J (Engl), 2014,27(23):4043-4048.
[7] 向勇,王任棠.颈椎病的X 线平片诊断价值[J].中国现代医生,2009,47(9):105.
[8] 肖靖,刘洪英.X 线检查颈椎生理曲度异常对于年轻颈椎病患者的诊断价值分析[J].医学美学美容(中旬刊),2014(12):91-92.