颈椎张口位、颈椎四位片X线摄影在颈椎病中的诊断价值

Diagnostic value of cervical spine opening position and four position X-ray photography in cervical spondylosis

摘要:

目的 探究颈椎张口位、颈椎四位片X线摄影在颈椎病中的诊断价值。方法 选取2021年1月至2022年12月在紫合梅州医院接受治疗的60例颈椎病患者，按排序法分为观察组和对照组，各30例。对照组患者采用颈椎张口位X线摄影，在此基础上，给予观察组颈椎四位片X线摄影，比较两组患者的影像学检查结果以及特异征象检出情况。结果 观察组的椎间隙狭窄、颈椎曲度异常、椎体后缘骨赘检出率与对照组比较差异无统计学意义（P>0.05），但骨性椎管狭窄、钩突增生、小关节突增生检出率与对照组比较差异有统计学意义（P<0.05）；观察组的特异征象检出率为33.33%（10/30），明显高于对照组［10.00%（3/30）］（P<0.05）；经检查结果显示，观察组的X线各动态指标检测率明显高于对照组（P<0.05）。结论 两种方法均能观察到颈椎病的大部分征象，但在不同的形态学检出率具有明显的限度，且两种方法的联合诊断准确度更高，临床上可将其联合应用，以便对颈椎病的影像学诊断结论作出客观评价。

Abstract:

Objective To explore the diagnostic value of cervical opening position and cervical four position X-ray photography in cervical spondylosis.Methods Sixty patients with cervical spondylosis who received treatment in Zihe Meizhou Hospital from January 2021 to December 2022 were selected and divided into an observation group and a control group according to sorting method, with 30 patients in each group. The patients in control group underwent cervical spine opening X-ray photography, and on this basis, the observation group was given four position cervical spine X-ray photography to compare the imaging examination results and specific sign detection of the two groups of patients.Results There was no significant difference in the detection rate of intervertebral space stenosis, cervical curvature abnormality, and vertebral posterior edge osteophyte between the observation group and the control group (P>0.05), but there was a statistical difference in the detection rate of bone spinal stenosis, structural process hyperplasia, and small articular process hyperplasia between the observation group and the control group (P<0.05). The detection rate of specific signs in the observation group was 33.33% (10/30), which was significantly higher than that in the control group [10.00% (3/30)], and the difference was statistically significant (P<0.05). The examination results showed that the detection rate of various dynamic X-ray indicators in the observation group was significantly higher than that in the control group (P<0.05).Conclusion Both methods can observe most of the symptoms of cervical spondylosis, but there are obvious limitations in different morphological detection rates, and the combined diagnostic accuracy of the two methods is higher. They can be combined in clinical practice to objectively evaluate the imaging diagnosis conclusions of cervical spondylosis.