摘要
颈椎病全称为颈椎退行性病变,该疾病的发病率日益增高,而不同类型的颈椎病对于人体的影响程度也有所差异,例如脊髓性颈椎病是颈椎病中非常严重的一种病理类型,是直接导致脊髓功能障碍的主要因素。颈椎病原为老年性关节疾病,继发于椎间盘退变,并常见于椎体边缘及小关节肥大增生,严重者会导致严重的椎管狭窄。但该疾病随着现代人群生活方式和生活习惯的变化有着逐渐年轻化的趋势。颈椎活动度相对较大,外伤概率明显增加,这也是导致颈椎退行性病变和椎管狭窄等疾病的主要原因。随着现代影像学和计算机技术的发展,使得CT研究利用3D重建图像展开定量和解剖结构分析成为医学领域的形态学检查方法,虽然可能会因为扫描限制的因素,导致无法对整个颈椎形态进行动态观察,但CT诊断一直以来都是临床上最为常见的一种检查方法。所以当怀疑颈椎病患者出现骨质增生时,那么建议颈椎病患者进行CT检查确定是否有骨质钙化和颈椎管狭窄病变。本文围绕颈椎病临床CT诊断研究进展进行综述,为颈椎病的临床诊断提供帮助。
Cervical spondylosis is also known as cervical degenerative lesions.The incidence of this disease is increasing day by day,and the impact of different types of cervical spondylosis on the human body is also different.For example,spinal cervical spondylosis is a very serious pathological type in cervical spondylosis,which is the main factor directly leading to spinal cord dysfunction.Cervical spondylosis is originally a senile joint disease,secondary to the intervertebral disc degeneration,and is common in the edge of the vertebral body and small joint hypertrophy and hyperplasia.Serious cases will lead to severe spinal stenosis.However,the disease is gradually becoming younger with the change of the lifestyle and living habits of modern people.The activity of the cervical vertebra is relatively large,and the probability of trauma increases significantly,which is also the main cause of diseases such as cervical degenerative lesions and spinal stenosis.With the development of modern imaging and computer technology,CT research using 3D reconstructed images to carry out quantitative and anatomical structure analysis has become a morphological examination method in the medical field.Although the dynamic observation of the entire cervical spine may not be possible due to scanning limitations,CT diagnosis has always been the most common clinical examination method.Therefore,when patients with cervical spondylosis are suspected to have bone hyperplasia,it is recommended that patients with cervical spondylosis should have a CT examination to determine whether there is bone calcification and cervical canal stenosis lesions.This paper reviews the research progress of the clinical CT diagnosis of cervical spondylosis,and provides help for the clinical diagnosis of cervical spondylosis.
作者
马向林
MA Xiang-lin(Department of Radiology,Tianjin Binhai New Area Hangu Traditional Chinese Medicine Hospital,Tianjin 300480,China)
出处
《中国城乡企业卫生》
2022年第9期28-30,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
颈椎病
诊断
CT表现
解剖特征
Cervical spondylosis
Diagnosis
CT manifestations
Anatomical features
