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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第34卷

期数:

2022年01期

页码:

8-12

栏目:

临床研究

出版日期:

2022-01-20

文章信息/Info

Title:

The relationship between cervical spine curvature and cervical spondylosis myelopathy:a clinical study

作者:

段寒; 谭洪宇; 张杨; 杨科荣; 张博文; 周嘉辉

(郑州大学第一附属医院,河南 郑州 450052)

Author(s):

DUAN Han; TAN Hongyu; ZHANG Yang; YANG Kerong; ZHANG Bowen; ZHOU Jiahui

The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China

关键词:

颈椎;  脊髓型颈椎病;  生理性弯曲

Keywords:

cervical vertebrae;  cervical spondylotic myelopathy;  physiologic curvature

摘要:

目的:探讨颈椎曲度与脊髓型颈椎病的关系。方法:选取2018年1月至2020年1月在郑州大学第一附属医院接受颈椎X线检查的114例脊髓型颈椎病患者(脊髓型颈椎病组)和同期在医院进行颈椎X线检查的61例健康体检者(非颈椎病组)进行研究。采用Borden法在拍摄的侧位X线片上测量颈椎曲线深度(cervical curve depth,CCD),比较2组受试者的CCD和颈椎曲度异常率,采用受试者操作特征(receiver operating characteristic,ROC)曲线分析评价CCD诊断脊髓型颈椎病的价值。结果:脊髓型颈椎病组的CCD小于非颈椎病组[(3.14±5.51)mm,(8.87±2.43)mm,t=-7.715,P=0.000]; 脊髓型颈椎病组颈椎曲度正常12例、异常102例,非颈椎病组颈椎曲度正常56例、异常5例,脊髓型颈椎病组的颈椎曲度异常率高于非颈椎病组(χ2=110.488,P=0.000)。ROC曲线分析结果显示,依据CCD诊断脊髓型颈椎病的灵敏度为83.3%、特异度为90.2%、约登指数为74.4%、曲线下面积为0.876、诊断界值为6.945 mm。结论:脊髓型颈椎病的发生与颈椎曲度减小有关,CCD小于6.945 mm时发生脊髓型颈椎病的可能性较大。

Abstract:

Objective:To explore the relationship between cervical spine curvature(CSC)and cervical spondylosis(CS)myelopathy(CSM).Methods:One hundred and fourteen CSM patients(CSM group)and 61 healthy volunteers(non-CS group)who received cervical X-ray examination in The First Affiliated Hospital of Zhengzhou University from January 2018 to January 2020 were selected for the study.The cervical curve depth(CCD)were measured on the lateral X-ray films by using Borden’s method.The CCD and CSC abnormal rate were compared between the 2 groups,and the value of CCD in diagnosing CSM was analyzed and evaluated by using receiver operating characteristic(ROC)curve.Results:The CCD was smaller in CSM group compared to non-CS group(3.14±5.51 vs 8.87±2.43 mm,t=-7.715,P=0.000).The normal CSC was found in 12 patients in CSM group and 56 ones in non-CS group,and the abnormal CSC was found 102 patients in CSM group and 5 ones in non-CS group.The CSC abnormal rate was higher in CSM group compared to non-CS group(χ2=110.488,P=0.000).The results of ROC curve analysis showed that the sensitivity,specificity,Yoden index,area under curve and diagnostic cut-off value of CCD in diagnosing CSM were 83.3%,90.2%,74.4%,0.876 and 6.945 mm respectively.Conclusion:The onset of CSM is related to the decrease of CSC and it is a great possibility when the CCD is less than 6.945 mm.