摘要
目的 探讨有临床症状的青少年颈椎曲度异常患者的颈椎 X平片特点和主要临床症状体征。 方法 根据 X线颈椎曲度异常的程度 ,将 16 6例 12～ 35岁的患者分为轻度 (5 5例 )、中度 (6 5例 )、重度 (4 6例 )三组 ,比较受累椎体的百分比 ,病程 ,临床症状 (头痛程度、头晕、晕厥、记忆力减退的发生率等 ) ,体征 (血压、Hoffm ann征、闭目难立征 )。 结果 随颈椎曲度异常程度加重 ,受累椎体的百分比 ,临床症状、体征异常增加 ,轻中重各组有显著差异 (P<0 .0 5～ 0 .0 1) ;颈椎曲度异常与头痛的程度和病程密切相关 (P<0 .0 1) ; 结论 颈椎曲度异常与青少年头痛头晕、晕厥等症状的发生以及阳性 HOFFMAN征和闭目难立征密切相关 ,可能是有上述症状体征者一个不可忽视的潜在病因。
Objective To explore the features of cervical vertebrae X ray and clinical manifestation in younger patients with abnormal Cervical Vertebrae Curvature(CVC). Methods 166 patients from 12 to 35 years with symptomatic abnormal CVC were selected and divided into three groups based on their abnormality degree of CVC (Light group with 55 cases, moderate with 65, severe with 46); X ray of cervical vertebrae, clinical symptoms, related signs were detected. Results Parallel to CVC abnormality degree aggravated, the numbers of involved cervical centrum were increased;the symptoms include the severity of headache and the incidences of vertigo, syncope, amnesia, etc, as well as blood pressure also raised; positive Hoffman's and Romberg's signs were also increased. The differences among three groups were significant ( P <0.05~0.01). There is a close relationship of abnormal CVC with the degree and course of headache ( P <0.01). Conclusion CVC abnormality is closely related to the numbers of involved cervical centrum, clinical symptoms of headache, vertigo etc, and some signs in younger patients, which might be the potential cause of youth headache and vertigo.
出处
《空军总医院学报》
2001年第4期200-202,共3页
Journal of General Hospital of Air Force,PLA
