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[1]陳威燁,華永均,楊晴雨,等.頸椎曲度改變與胸椎側凸的關系研究[J].中醫(yī)正骨,2021,33(12):11-13.
　CHEN Weiye,HUA Yongjun,YANG Qingyu,et al.The relationships between cervical curvature change and thoracic scoliosis:a clinical study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(12):11-13.
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頸椎曲度改變與胸椎側凸的關系研究()
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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12期
頁碼:
11-13
欄目:
臨床研究
出版日期:
2021-12-20

文章信息/Info

Title:
The relationships between cervical curvature change and thoracic scoliosis:a clinical study
作者:
陳威燁; 華永均; 楊晴雨; 陳金洪; 朱利民
(杭州市富陽中醫(yī)骨傷醫(yī)院,浙江 杭州 311400)
Author(s):
CHEN Weiye; HUA Yongjun; YANG Qingyu; CHEN Jinhong; ZHU Limin
Fuyang TCM Orthopedic-Traumatological Hospital,Hangzhou 311400,Zhejiang,China
關鍵詞:
頸椎病;  脊柱側凸;  胸椎;  相關分析
Keywords:
cervical spondylosis;  scoliosis;  thoracic vertebrae;  correlation analysis
摘要:
目的:探討頸椎曲度改變與胸椎側凸的關系。方法:2020年3—12月招募30例頸椎病患者(頸椎病組)和30例健康志愿者(無頸椎病組)。所有受試者均拍攝頸、胸椎X線片,觀察頸椎生理曲度和胸椎冠狀位形態(tài),測量頸椎曲線深度(cervical curve depth,CCD)和胸椎頂椎偏距(thoracic apical vertebral translation,T-AVT)。結果:頸椎病組30例均存在頸椎生理曲度改變和冠狀位胸椎序列偏移,無頸椎病組3例存在頸椎生理曲度改變、24例存在冠狀位胸椎序列偏移; 頸椎病組頸椎生理曲度改變發(fā)生率和冠狀位胸椎序列偏移發(fā)生率均高于非頸椎病組(χ2=49.091,P=0.000; P=0.024)。頸椎病組的CCD小于無頸椎病組[(1.5±1.1)mm,(12.4±2.6)mm,t=2.362,P=0.025],T-AVT大于無頸椎病組[(8.2±3.7)mm,(4.1±1.8)mm,t=2.175,P=0.038]。Pearson相關分析顯示,頸椎病組患者的CCD與T-AVT呈負相關(r=-0.541,P=0.043)。結論:頸椎生理曲度改變與胸椎側凸有關,胸背部慢性勞損引起的頸、胸部生物力學失衡可能是頸椎病發(fā)病的重要原因之一。
Abstract:
Objective:To explore the relationships between cervical curvature change and thoracic scoliosis.Methods:Thirty cervical spondylosis(CS)patients(CS group)and 30 healthy volunteers(non-CS group)were recruited from March 2020 to December 2020.The cervical and thoracic X-ray films were taken for all subjects.The cervical physiological curvature and coronal plane thoracic morphology were observd,and the cervical curve depth(CCD)and thoracic apical vertebral translation(T-AVT)were measured on the X-ray films.Results:Thirty patients suffered from both cervical physiological curvature change and coronal thoracic sequence deviation in CS group,while cervical physiological curvature change was found in 3 persons and coronal thoracic sequence deviation was found in 24 ones in non-CS group.The incidence rates of cervical physiological curvature change and coronal thoracic sequence deviation were higher in CS group compared to non-CS group(χ2=49.091,P=0.000; P=0.024).The CCD was smaller,whereas the T-AVT was greater in CS group compared to non-CS group(1.5±1.1 vs 12.4±2.6 mm,t=2.362,P=0.025; 8.2±3.7 vs 4.1±1.8 mm,t=2.175,P=0.038).The results of Pearson correlation analysis showed that CCD was negatively correlated with T-AVT in CS group(r=-0.541,P=0.043).Conclusion:The changes in physiological curvature of cervical spine is related to thoracic scoliosis,and the cervico-thoracic biomechanical imbalance caused by thoracodorsal chronic strain may be one of the important reasons for cervical spondylosis.

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備注/Memo

備注/Memo:
基金項目:浙江省中醫(yī)藥科技計劃項目(2020ZQ048)
通訊作者:陳威燁 E-mail:[email protected]
更新日期/Last Update: 1900-01-01