| 伴有上交叉综合征的青年颈型颈椎病患者的颈椎X线检查的初步分析 |
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投稿时间：2018-07-11
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| 作者 | Author | 单位 | Address | E-Mail |
| 马明 |
MA Ming |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 张世民 |
ZHANG Shi-min |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
smzhang1117@163.com |
| 章永东 |
ZHANG Yong-dong |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 黎作旭 |
LI Zuo-xu |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 吴冠男 |
WU Guan-nan |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 张秀江 |
ZHANG Xiu-jiang |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 靳蛟 |
JIN Jiao |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 刘昱彰 |
LIU Yu-zhang |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 张兆杰 |
ZHANG Zhao-jie |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 期刊信息：《中国骨伤》2019年，第32卷，第3期，第225-229页 |
| DOI：10.3969/j.issn.1003-0034.2019.03.006 |
| 基金项目:中国中医科学院望京医院院级科研课题（编号：WJYY-PY-025） |
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中文摘要:
目的：分析伴有上交叉综合征（upper crossed syndrome，UCS）的青年颈型颈椎病患者的X线特点。
方法：选取2017年1月至10月期间伴有和不伴有UCS的青年颈型颈椎病患者各20例，以及正常志愿者10例，予以颈椎侧位、前屈后伸位X线检查，观察颈椎夹角、角位移、相邻椎体滑移。
结果：UCS组颈椎夹角为（-0.40±9.64）°，明显小于正常组的（14.35±9.01）°（P<0.05）和非UCS组的（9.55±14.69）°（P<0.05）。UCS组上颈椎前屈后伸位角位移变化为（8.18±4.81）°，明显小于正常组的（12.14±3.48）°（P<0.05）和非UCS组的（12.34±5.65）°（P<0.05）。UCS组前屈位下颈椎椎体后缘滑移为15.41±2.21，明显大于正常组的13.26±2.42（P<0.05），同非UCS组的15.64±2.07，差异无统计学意义（P>0.05）。
结论：伴有UCS青年颈型颈椎病患者的颈椎生理曲度更倾向于变直或者反张，上颈椎屈伸活动受限，而下颈椎处于屈曲状态。 |
| 【关键词】颈椎病 上交叉综合征 青年期 X线 |
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| Preliminary analysis on X-ray in youth neck type of cervical spondylosis with upper crossed syndrome |
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ABSTRACT
Objective:To analyze the X-ray characteristics in youth neck type of cervical spondylosis with upper crossed syndrome(UCS).
MethodsThe patients who had a neck type of cervical spondylosis with or without UCS were selected from January to October 2017,20 cases in each group,and 10 normal volunteers were chosen in the study. X-ray examination of lateral and hyperextension-hyperflexion of cervical spine were performed to observe cervical spine angle,angular displacement and adjacent vertebral body slip.
ResultsThe cervical spine angle was (-0.40±9.64)° in the UCS group,significantly less than (14.35±9.01)° in the normal group and (12.34±5.65)° in the non-UCS group(P<0.05). The change of angular displacement of the upper cervical vertebra in anterior flexion and posterior extension was (8.18±4.81)° in UCS group,which was also significantly less than (12.14±3.48)° in the normal group and (12.34±5.65)° in the non-UCS group(P<0.05). The slippage of the vertebral posterior margin of the lower cervical spine in the anterior flexion was 15.41±2.21 in the UCS group,which was significantly greater than 13.26±2.42 in normal group(P<0.05),and was not obviously different from 15.64±2.07 in non-UCS group(P>0.05).
ConclusionIn young patients who has a neck type of cervical spondylosis with UCS,the cervical curvature prone to straighten or reverse,the upper cervical flexion and extension are limited,while the lower cervical is in a flexion. |
| KEY WORDS Cervical spondylosis Upper crossed syndrome Abolescent X-rays |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 马明,张世民,章永东,黎作旭,吴冠男,张秀江,靳蛟,刘昱彰,张兆杰.伴有上交叉综合征的青年颈型颈椎病患者的颈椎X线检查的初步分析[J].中国骨伤,2019,32(3):225~229 |
| 英文格式: | MA Ming,ZHANG Shi-min,ZHANG Yong-dong,LI Zuo-xu,WU Guan-nan,ZHANG Xiu-jiang,JIN Jiao,LIU Yu-zhang,ZHANG Zhao-jie.Preliminary analysis on X-ray in youth neck type of cervical spondylosis with upper crossed syndrome[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(3):225~229 |
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