[1]孟建繁,吕立桃.从影像学角度探究颈椎病证型与病理的相关性[J].西部中医药,2017,30(04):136-138.
　MENG Jianfan,LYU Litao.Study on Correlation between Syndrome Types of Cervical Spondylosis and Pathology Based on Imaging[J].Western Journal of Traditional Chinese Medicine,2017,30(04):136-138.
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从影像学角度探究颈椎病证型与病理的相关性()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年04期
页码:
136-138
栏目:
出版日期:
2017-04-15

文章信息/Info

Title:
Study on Correlation between Syndrome Types of Cervical Spondylosis and Pathology Based on Imaging
文章编号:
1004-6852(2017)04-0136-03
作者:
孟建繁1，吕立桃2
1 甘肃省中医院，甘肃 兰州 730500； 2 甘肃中医药大学
Author(s):
MENG Jianfan1, LYU Litao2△
1 Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730500, China; 2 Gansu University of Traditional Chinese Medicine
关键词:
颈椎病; 影像; 中医证型; 病理相关性
Keywords:
cervical spondylopsis;  imaging;  TCM syndrome types;  the correlation of pathology
分类号:
R681.5
文献标志码:
B
摘要:
目的：从影像学角度探讨颈椎病中医辨证分型与西医病理的相关性。方法：选取120例颈椎病患者并进行中医辨证分型，对所有患者行CT、MRI扫描并记录影像数据，对结果进行统计分析。结果：气滞血瘀型颈椎病患者，多见颈椎曲度变直，椎间隙多有增生样变，见椎间孔及椎动脉狭窄；风寒湿痹型多见骨质增生样变，尤以前缘为主，本证型多见颈椎曲度的变化及项韧带钙化现象；肝肾亏虚型颈椎病患者，颈椎生理曲度变直，多见椎动脉狭窄，并伴有椎间盘突出及横突孔狭窄；痰湿阻络型颈椎病患者，骨质增生以后缘为主，并伴椎间盘突出和前后径狭窄；气血两虚型患者各种病理类型不典型，分布比较分散。结论：从影像学角度角度来看颈椎病的中医证型与西医病理具有密切的相关性。
Abstract:
Objective: To explore the correlation between TCM syndrome types of cervical spondylosis and pathology of western medicine from the angle of imaging. Methods: 120 patients with cervical spondylosis were selected, and TCM syndrome type differentiations were carried out. At the same time, all patients were scanned with CT and MRI, and the imaging data were recorded as well. In addition, the results were analyzed statistically. Results: For patients with cervical spondylosis of types of Qi stagnation and blood stasis, most of their cervical vertebral physiological curvatures became straight, and the intervertebral space has hyperplasia. Meanwhile, the intervertebral foramen syndromes and vertebral artery stenosis appeared; For patients of types of wind, cold and dampness, most of them suffered from hyperosteogeny lesion, especially in the front. What’s more, for this type of syndrome, it was common for them to come with changes of cervical curvature and nuchal ligament calcification; For patients of types of deficiency of liver and kidney, their cervical vertebral physiological curvatures became straight and vertebral artery stenosis appeared. Besides, they came with protrusion of intervertebral disc and transverse foramen stenosis as well; For patients of types of stagnation of phlegm-dampness, the hyperosteogeny was more common in the trailing edge. And they suffered with protrusion of intervertebral disc and anteroposterior diameter stenosis as well. Moreover, for patients of types of deficiency of Qi and blood, all kinds of pathological types were not typical, and the distribution was dispersed. Conclusion: From the perspective of imaging, there is a close correlation between TCM syndrome types of cervical spondylosis and pathology of Western medicine.

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备注/Memo

备注/Memo:
收稿日期：2016-11-10 作者简介：孟建繁(1958—)，男，副主任技师。研究方向：放射影像学。
更新日期/Last Update: 2017-04-15