颈椎病的X线诊断（附1000例X线分析）

目的：探讨颈椎病的Ｘ线表现和评价平片诊断价值。材料与方法：对１０００例颈椎病资料的回顾性分析，找出对诊断有价值的Ｘ线表现。结果：生理曲度异常（６３．１％）、椎间隙狭窄（１００％）、钩椎关节退变（８１．３％）、椎间关节退变（６１．４％）等是颈椎病的主要Ｘ线表现。此外，椎间盘真空征（气征）、正位裂隙征、侧位裂隙正虽具有特征，但出现率不高。结论：常规正、侧位与双斜位平片在颈椎病诊断上不仅有重要价值，也是一种主要的检查方法。

X-ray Diagnosis of Cervical Spondylosis (Analysis of 1000 Cases)

Purpose:To discussed the x-ray findings of cervical spondylosis and evaluate the diagnostic significance of plain films.Materials and Methods:Materials of 1000 cases of cervical spondylosis were analysed retrospectively and diagnostic significance of x-ray findings was suggested.Results:Radiologic manifestations of cervical spondylosis in these cases were as follows:abnormal cervical curvature(63 1%),narrow intervertebral space(100%),degenerate Luschka joint(81 3%)and intervertebral joint(61 4%).In addition,the vacuum sign (gas sign) of intervertebral disk and fissure sign observed in plain films in anterior posterior and lateral positions were also characterized as the cervical spondylosis,but their incidence rates were not high.Conclusion:Plain films in anterior-posterior,lateral and oblique positions of cervical vertebra are pivotal examinational methods,and play an important role in diagnosing cervical spondylosis.