青少年颈椎生理曲度异常的影像学表现和临床症状研究

目的 探讨青少年颈椎生理曲度异常的影像学特征和主要临床症状.方法 选择2014年1月至2015年12月秦皇岛经济技术开发区医院神经内科门诊就治的有神经系统临床症状并伴有X线异常的青少年患者116例,根据X线平片颈椎生理曲度异常程度,将入组患者的颈椎生理曲度异常分为轻度组(38例)、中度组(34例)、重度组(44例),分别比较三组患者临床症状和神经系统体征.结果 颈椎生理曲度减小和变直分别占颈椎生理曲度异常分型的29.31%和37.93%;轻、中、重三组患者中头痛积分随颈椎生理曲度异常程度增加而逐渐加重,且血压呈上升趋势,两两比较组间差异有统计学意义(P<0.05);轻、中、重三组阳性Hoffmann征积分分别为6.0、18.0、26.0,差异有统计学意义(P<0.05);Romberg征阳性积分分别为18.0、35.5、29.5,差异有统计学意义(P<0.05).结论 颈椎曲度异常是颈椎病较早出现的X线征象,对青少年早期颈椎影像学资料进行分析研究可及时明确疾病的发生发展.

Imaging findings and clinical symptoms of abnormal cervical lordosis in young people

Objective To investigate the imaging features and main clinical symptoms of abnormal cervical lor-dosis in young people. Methods A total of 116 young patients with clinical symptoms of nervous system accompanied by abnormal X-ray manifestations in Outpatient Department of Neurology in Qinhuangdao Economic and Technological Development-Zone Hospital from January 2014 to December 2015 were selected. According to the abnormal degree of cervical lordosis by plain film radiography, the patients were divided into mild group (n=38), medium (n=34), severe group (n=44). The clinical symptoms and nervous system signs were compared among the three groups. Results Abnor-mal cervical lordosis decrease and straightening respectively accounted for 29.31%and 37.93%of the abnormal cervi-cal lordosis classification. With increasing of abnormal cervical lordosis, the headache score were gradually increased in three groups, and the blood pressure increased. There were statistically significant differences between the two groups (P<0.05). The positive Hoffmann sign integral in three groups were respectively 6.0, 18.0, 26.0, and the differ-ences were statistically significant (P<0.05). Romberg positive sign integral were respectively 18.0, 35.5, 29.5, and the differences were statistically significant (P<0.05). Conclusion Abnormal cervical lordosis is the early X-ray signs of cervical lordosis. Analysis of the early imaging data of cervical vertebra can help to study the occurrence and develop-ment of the disease.