论文部分内容阅读
本文报告１００例颈椎病Ｘ线所显示的征象，与投照体位有极大的关系。近年来对颈椎病的诊断方法报导很多，最常用而简单的检查方法是Ｘ线拍片，一般病变在Ｘ线正侧位征象就可以显示。但是，对于一些隐匿性微小病变常规正侧位片则不能显示。因此，我们从１９８７年以来对本院５００例颈椎病进行多体位（放大双斜位等八位片）Ｘ线摄片检查，从中选择１００例照片位置正确，对比度和清晰度良好，资料完整的同体病人与正侧位片进行对比观察，说明多体位片比常规正侧位片可明显提高检出率，二片有显著差异性（Ｐ＜０．０１），发现了一些隐匿性微小病变，即常规正侧位片所不能显示的新的Ｘ线征象，从而大大提高了对颈椎病诊断的准确率，减少了误诊率和漏诊率。此种检查方法，对一些急性危重病人慎用，以防止脊髓神经损伤。
This article reports 100 cases of X-ray showed signs of cervical spondylosis, and the projected body position has a great relationship. In recent years, a lot of reports on the diagnosis of cervical spondylosis, the most common and simple method of examination is X-ray film, the general lesion in the X-ray is lateral signs can be displayed. However, for some occult minor lesions routine is not displayed on the lateral film. Therefore, we have conducted a multi-position (enlarged double oblique eight-piece) X-ray examination of 500 cases of cervical spondylosis in our hospital from 1987, from which we selected 100 cases with correct position, good contrast and sharpness and complete data The same patient and positive lateral radiographs were compared, indicating that the multi-position radiographs than conventional radiographs can significantly improve the detection rate, two were significantly different (P <0.01), found some occult minor lesions, That is, the conventional lateral radiographs can not show the new X-ray signs, thus greatly improving the accuracy of diagnosis of cervical spondylosis, reducing the misdiagnosis rate and missed diagnosis rate. This test method, used with caution in some critically ill patients to prevent spinal cord injury.