| 颈椎终板弧形高度与椎间隙后缘骨赘的相关性研究 |
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投稿时间：2019-03-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 陈加成 |
CHEN Jia-cheng |
徐州医科大学研究生学院, 江苏 徐州 221000 |
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| 袁峰 |
YUAN Feng |
徐州医科大学附属医院脊柱外科, 江苏 徐州 221000 |
Department of Spinal Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, Jiangsu, China |
1440764760@qq.com |
| 许飞虎 |
XU Fei-hu |
徐州医科大学研究生学院, 江苏 徐州 221000 |
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| 陆炜强 |
LU Wei-qiang |
徐州医科大学研究生学院, 江苏 徐州 221000 |
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| 邓斌 |
DENG Bin |
徐州医科大学附属医院脊柱外科, 江苏 徐州 221000 |
Department of Spinal Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, Jiangsu, China |
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| 张弛 |
ZHANG Chi |
徐州医科大学附属医院脊柱外科, 江苏 徐州 221000 |
Department of Spinal Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, Jiangsu, China |
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| 期刊信息：《中国骨伤》2020年，第33卷，第2期，第136-139页 |
| DOI：10.12200/j.issn.1003-0034.2020.02.009 |
| 基金项目:江苏省重点研发计划（编号：BE2016647）；江苏省"六大人才高峰"项目（编号：53031106） |
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中文摘要:
目的：通过对颈椎病患者上下终板弧形高度、椎间隙高度与椎间隙后骨赘的影像学测量，研究其相关性及其临床应用价值。
方法：收集2017年9月至2018年9月颈椎病手术108例患者的临床资料，男48例，年龄30~72岁，平均52岁，女60例，年龄37~79岁，平均54岁。其中C2，3 6例，C3，4 15例，C4，5 32例，C5，6 42例，C6，7 13例。术前及术后摄颈椎X线片，利用PACS（Picture Archiving and Communication Systems）调阅影像，测量椎间隙的下上终板弧形高度（L1，L2），椎间隙高度（L3）及后方骨赘的宽度（L4）。利用Spearman分析它们之间的相关性。
结果：L1与L4对比（r=-0.34，P<0.05），L3与L4对比（r=-0.36，P<0.05），存在负相关。L1与L3对比（r=0.38，P<0.05），L2与L3对比（r=0.48，P<0.05），存在正相关。L1与L2对比（P>0.05），L2与L4对比（P>0.05），差异无统计学意义。
结论：下终板弧形高度与椎间隙后缘骨赘宽度呈负相关，通过其测量可明确颈椎退变程度，对颈椎病的早期防治有指导意义。 |
| 【关键词】颈椎退变 椎间隙 终板 骨赘 |
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| Study on the correlation between the arc height of cervical endplate and osteophyte in posterior margin of intervertebral space |
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ABSTRACT
Objective: To study the correlation and clinical value of the arc height of upper and lower endplates,the height of intervertebral space and osteophyte of posterior edge of intervertebral space in patients with cervical spondylosis.
Methods: A total of 108 patients with cervical spondylosis who underwent cervical spondylosis surgery from September 2017 to September 2018 were included in the study. Including 48 males with an average age of 52 years (30 to 72) and 60 females with an average age of 54 years(37 to 79). Among them,C2,3 of 6 cases,C3,4 of 15 cases,C4,5 of 32 cases,C5,6 of 42 cases,C6,7 of 13 cases. X-ray films of cervical spine were taken before and after operation. The images were accessed by PACS (Picture Archiving and Communication Systems) system. The lower and upper endplate arc heights (L1,L2),intervertebral space height (L3),and posterior osteophyte width(L4) were measured. Spearman was used to analyze the correlation between them.
Results: L1 was negatively correlated with L4(r=-0.34,P<0.05),L3 was negatively correlated with L4 (r=-0.36,P<0.05). L1 was positively correlated with L3(r=0.38,P<0.05),L2 was positively correlated with L3(r=0.48,P<0.05). There was no significant difference between L1 and L2(P>0.05),L2 and L4 (P>0.05).
Conclusion: The arc height of the lower endplate is negatively correlated with the width of osteophyte in the posterior margin of the intervertebral space. The cervical degeneration degree can be determined by measuring the arc height of the lower endplate,which has guiding significance for the early prevention and treatment of cervical spondylosis. |
| KEY WORDS Cervical degeneration Intervertebral space Endplate Osteophyte |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈加成,袁峰,许飞虎,陆炜强,邓斌,张弛.颈椎终板弧形高度与椎间隙后缘骨赘的相关性研究[J].中国骨伤,2020,33(2):136~139 |
| 英文格式: | CHEN Jia-cheng,YUAN Feng,XU Fei-hu,LU Wei-qiang,DENG Bin,ZHANG Chi.Study on the correlation between the arc height of cervical endplate and osteophyte in posterior margin of intervertebral space[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(2):136~139 |
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