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[1]韓同坤,吳科,劉元輝.健康成人頸椎棘突偏歪的X線研究[J].中醫(yī)正骨,2021,33(03):6-8.
　HAN Tongkun,WU Ke,LIU Yuanhui.A X-ray study of cervical vertebral spinous process deviation in healthy adults[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(03):6-8.
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健康成人頸椎棘突偏歪的X線研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年03期
頁(yè)碼:
6-8
欄目:
臨床研究
出版日期:
2021-03-20

文章信息/Info

Title:
A X-ray study of cervical vertebral spinous process deviation in healthy adults
作者:
韓同坤; 吳科; 劉元輝
(深圳市寶安區(qū)松崗人民醫(yī)院,廣東 深圳 518105)
Author(s):
HAN Tongkun; WU Ke; LIU Yuanhui
Songgang people’s hospital of Bao’an district in Shenzhen city,Shenzhen 518105,Guangdong,China
關(guān)鍵詞:
頸椎;  成年人;  棘突;  推拿; 脊柱;  椎體旋轉(zhuǎn);  放射攝影術(shù)
Keywords:
cervical vertebrae;  adult;  spinous process;  manipulation; spinal;  vertebral rotation;  radiography
摘要:
目的:研究健康成人頸椎棘突偏歪情況,探討頸椎棘突偏歪與椎體旋轉(zhuǎn)的關(guān)系。方法:選取100例健康成人的頸椎正位X線片。男59例,女41例。年齡21～53歲,中位數(shù)35歲。按照Nash-Moe法評(píng)定,椎體旋轉(zhuǎn)度均為Neutral級(jí)。觀察頸椎正位X線片上C2～C7棘突偏歪情況。結(jié)果:100例受檢者共600椎,其中566椎棘突無(wú)偏歪、34椎棘突偏歪。棘突偏歪的34椎中,棘突左偏13椎、棘突右偏21椎。C2棘突偏歪3椎(棘突左偏2椎、棘突右偏1椎)、C3棘突偏歪7椎(棘突左偏3椎、棘突右偏4椎)、C4棘突偏歪6椎(棘突左偏2椎、棘突右偏4椎)、C5棘突偏歪3椎(棘突左偏1椎、棘突右偏2椎)、C6棘突偏歪10椎(棘突左偏3椎、棘突右偏7椎)、C7棘突偏歪5椎(棘突左偏2椎、棘突右偏3椎)。不同節(jié)段頸椎棘突偏歪率總體比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(χ2=6.610,P=0.251)。不同節(jié)段頸椎棘突偏歪方向總體比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(χ2=1.476,P=0.916)。結(jié)論:健康成人的頸椎存在一定比例的棘突偏歪,臨床不能以單純的棘突偏歪來(lái)判斷頸椎有無(wú)旋轉(zhuǎn)。
Abstract:
Objective:To study the cervical vertebral spinous process deviation in healthy adults,and to explore the relationship between cervical vertebral spinous process deviation and cervical vertebral rotation.Methods:The anteroposterior X-ray films of cervical vertebrae of 100 healthy adults were selected.The adults consisted of 59 males and 41 females and ranged in age from 21 to 53 years(Median=35 yrs).All patient’s vertebral rotation belonged to Neutral grade according to Nash-Moe evaluation standard.The deviation of spinous process from C2 to C7 was observed on anteroposterior X-ray films of cervical vertebrae.Results:Five hundred and sixty-six undeviated spinous processes and 34 deviated spinous processes were found in 100 healthy adult subjects(600 vertebraes),and 13 vertebrae deviated on the left side and 21 on the right side among the 34 vertebrae with deviated spinous processes.The deviations of spinous processes were found in 3(2 on the left and 1 on the right),7(3 on the left and 4 on the right),6(2 on the left and 4 on the right),3(1 on the left and 2 on the right),10(3 on the left and 7 on the right)and 5(2 on the left and 3 on the right)vertebraes at C2,C3,C4,C5,C6 and C7 segment respectively.There was no statistical difference in cervical vertebral spinous process deviation rate between different vertebral segments in general(χ2=6.610,P=0.251).There was no statistical difference in the direction of deviated cervical vertebral spinous process between different vertebral segments in general(χ2=1.476,P=0.916).Conclusion:There is a certain proportion of cervical vertebral spinous process deviation in healthy adults,so the spinous process deviation cann’t be used as the exclusive diagnostic criteria of cervical vertebral rotation in clinic.

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更新日期/Last Update: 1900-01-01