| 谢栋△,许晨辉△,叶程,刘威,王珑清,朱奇,杨立利*.华东地区健康成人颈椎椎间孔影像学参数测量[J].脊柱外科杂志,2021,19(3):177-181. |
华东地区健康成人颈椎椎间孔影像学参数测量  点此下载全文 (Fulltext) |
| 谢栋△ 许晨辉△ 叶程 刘威 王珑清 朱奇 杨立利* |
| 海军军医大学长征医院脊柱外科, 上海 200003 |
| 基金项目：上海市科学技术委员会科技计划项目（201409003200，17441900600） |
| DOI：10.3969/j.issn.1672-2957.2021.03.007 |
| 摘要点击次数: 436 |
| 全文下载次数: 223 |
| 摘要： |
| 目的 观测华东地区健康成人颈椎椎间孔形态及三维空间下各相关参数的变化。方法 选择华东地区来本院体检的191名健康成人作为研究对象，其中男95名、女96名。对所有研究对象行颈椎CT检查并进行三维重建，观察颈椎各节段椎间孔形态，并测量最佳角度下的纵径、上前后径、下前后径、横径均值和横截面积等，比较各节段椎间孔之间及性别之间的差异。结果 C2/C3椎间孔形态以类圆形多见，占60.99%（233/382）；C3/C4/C5/C6/C7椎间孔形态以类椭圆形为主，分别占51.31%（196/382）、54.45%（208/382）、59.69%（228/382）、49.48%（189/382）。颈椎椎间孔的纵径和上前后径从C2/C3到C6/C7逐渐减小；横径均值和横截面积从C2/C3到C6/C7大致呈减小趋势，C2/C3椎间孔最大，C6/C7椎间孔最小；下前后径C2/C3椎间孔最大，C3/C4椎间孔最小。不同节段椎间孔之间各参数差异均有统计学意义（P<0.05）；男性和女性之间，同一节段椎间孔各参数差异均无统计学意义（P>0.05）。结论 华东地区健康成人颈椎各节段椎间孔形态以类圆形及类椭圆形为主，椎间孔的纵径和上前后径从C2/C3到C6/C7逐渐减小，横径均值及椎间孔面积从C2/C3到C6/C7大致呈减小趋势，而下前后径C2/C3椎间孔最大、C3/C4椎间孔最小，不同节段椎间孔参数不尽相同，变化趋势也有差异。 |
| 关键词：颈椎 椎间孔 摄影测量法 |
| Measurement of cervical intervertebral foramen in normal adults in East China Fulltext |
| Xie Dong△ Xu Chenhui△ Ye Cheng Liu Wei Wang Longqing Zhu Qi Yang Lili* |
| Department of Spinal Surgery, Changzheng Hospital, Navy Medical University, Shanghai 200003, China |
| Fund Project: |
| Abstract: |
| Objective To investigate the cervical intervertebral foramen morphology and related diametral values in three-dimensional space in normal adults in East China. Methods A total of 191 normal people who came to our hospital for physical examination from East China were selected,including 95 males and 96 females. After CT examination of cervical vertebra and three-dimensional reconstruction,the morphology of intervertebral foramen was observed and the longitudinal diameter,upper anteroposterior diameter,lower anteroposterior diameter,mean transverse diameter and cross-sectional area were measured at the optimal angle. The differences in the above indexes between different segments and genders were compared. Results The morphology of C2/C3 intervertebral foramen was sub-circular more(60.99%,233/382),and the proportion of C3/C4/C5/C6/C7 intervertebral foramen was sub-ellipse more(51.31%[196/382],54.45%[208/382],59.69%[228/382],49.48%[189/382]). The longitudinal diameter and upper anteroposterior diameter of the intervertebral foramen decreased from C2/C3 to C6/C7. The mean transverse diameter and cross-sectional area of intervertebral foramen showed a decreasing trend from C2/C3 to C6/C7,maximum at C2/C3,and minimum at C6/C7. The lower anteroposterior diameters were maximum at C2/C3 and minimum at C3/C4. There were statistically significant differences in the diameters of each intervertebral foramen(P>0.05),while there was no significant difference between males and females(P>0.05). Conclusions The shape of intervertebral foramen of normal adults in East China is mainly sub-circular and sub-ellipse. The longitudinal diameter and upper anteroposterior diameter of intervertebral foramen decrease from C2/C3 to C6/C7,mean transverse diameter and cross-sectional area generally decrease from C2/C3 to C6/C7,and the lower anteroposterior diameter is maximum at C2/C3 and minimum at C3/C4. The values are not the same,and change trend also has differences. |
| Keywords:Cervical vertebrae Intervertebral foramen Photogrammetry |
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