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颈椎病是常见病,临床诊断并不困难,在鉴别诊断及明确病变范围和程度上X线检查有重要价值。实际工作中常见临床症状与X线表现不一致。有人提出“隐性颈椎病”。我们搜集370例临床诊断颈椎病,回顾其X线片:200例X线可确诊,69例有个别征象,101例缺乏X线征象。这种不一致性一方面说明平片X线检查的局限性,另一方面也反映我们对某些可以做诊断依据的征象重视不够。我们分析临床和X线确诊的200例,以观察各种X线征象发生率,探讨其病理机制,强调应加以重视的征象。(一)、临床资料:200例中男性145例,女性55例,男女比例为2.63比1。年龄以40～60岁居多共154例占74.45%;40岁以下少见只有4例占2%;60岁以上42例占21.9%,最低年龄为32岁。11例有外伤史。临床表现以肢体麻木、疼痛多见。肢体疼痛113例占56.5%,肢体麻木118例占59%,局部压痛35例占17.5%,头昏眩晕36侧占18%,活动受限40例占20%,感觉减退23例占11.5%,肢体无力22例占11%,臂丛牵拉征45例占17.3%,肌肉萎缩9例占4.6%。
Cervical spondylosis is a common disease, clinical diagnosis is not difficult, in the differential diagnosis and clear scope and extent of X-ray examination has important value. The actual work of common clinical symptoms and X-ray inconsistent performance. Someone suggested “recessive cervical disease ”. We collected 370 cases of clinical diagnosis of cervical spondylosis, review of its X-ray: 200 cases of X-ray diagnosis, 69 cases of individual signs, 101 cases of lack of X-ray signs. This inconsistency on the one hand shows the limitations of plain radiography, on the other hand, we also reflect on some of the signs we can do not pay enough attention to the diagnosis. We analyzed clinical and X-ray diagnosis of 200 cases, in order to observe the incidence of various X-ray signs, to explore the pathological mechanism, emphasizing the signs should be taken seriously. (A), clinical data: 200 cases of male 145 cases, 55 cases of women, male to female ratio of 2.63 to 1. The age of 40-60 years old mostly 154 cases accounted for 74.45%; 40 years of age rare only 4 cases accounted for 2%; 60 years of age 42 cases accounted for 21.9%, the minimum age of 32 years. 11 cases had a history of trauma. Clinical manifestations to numbness, pain more common. Body pain in 113 cases accounted for 56.5%, limb numbness in 118 cases accounted for 59%, local tenderness in 35 cases accounted for 17.5%, dizziness and dizziness in 36 sides accounted for 18%, 40% of activities limited to 20%, 23 cases of sensory loss accounted for 11.5% Limb weakness in 22 cases accounted for 11%, brachial plexus traction in 45 cases accounted for 17.3%, muscle atrophy in 9 cases accounted for 4.6%.