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背景:颈椎病各种影像学的征象对于颈椎病的诊断具有重要的参考价值。目的:对颈椎病的X线诊断与CT表现进行回顾性分析。设计:以诊断为依据的回顾性研究。地点和对象:本研究由解放军第四七七医院影像科完成,研究对象为2001/2003本院收治的颈椎病患者145例,男86例,女59例;年龄35～78岁,平均56.5岁。方法:收集临床上不同程度颈椎病症状患者145例影像学资料,对其X线和CT表现进行回顾性分析。主要观察指标:X线片或CT反映的颈椎骨性改变。结果:钩椎关节骨质增生82例,占56.3%;椎间隙狭窄118例,占81.3%;椎间盘突出67例,占46.2%;椎间孔狭窄78例,占53.7%;颈椎骨质增生123例,占84.8%;颈椎生理曲度的改变78例,占53.7%。结论:颈椎病在X线与CT表现上具有一定的特征性,同一患者可能存在多种骨性改变。
Background: Cervical spondylosis various imaging signs for the diagnosis of cervical spondylosis has important reference value. Objective: To retrospectively analyze the X-ray diagnosis and CT findings of cervical spondylosis. Design: A retrospective study based on diagnosis. Location and Subjects: This study was performed by the Imaging Department of the 477th People’s Liberation Army. The object of study was 145 cases of cervical spondylosis admitted to our hospital from 2001 to 2003, including 86 males and 59 females, aged 35-78 years with an average age of 56.5 years . Methods: The clinical data of 145 patients with cervical spondylosis were collected. The X-ray and CT findings were retrospectively analyzed. MAIN OUTCOME MEASURES: Cervical vertebral changes reflected by X-ray or CT. Results: There were 82 cases of osteoarthritis of the lumbar spine, accounting for 56.3%; 118 cases of intervertebral disc stenosis, accounting for 81.3%; 67 cases of disc herniation, accounting for 46.2%; 78 cases of intervertebral foramen stenosis, accounting for 53.7%; cervical hyperostosis 123 Cases, accounting for 84.8%; cervical curvature changes in 78 cases, accounting for 53.7%. Conclusion: Cervical spondylosis has certain characteristics in X-ray and CT findings. Multiple bone changes may occur in the same patient.