| 刘少东,常春丽,李兰涛,等.颈性眩晕病人椎-基底动脉形态异常及其邻近颈椎结构异常的多层螺旋CT血管成像对比研究[J].安徽医药,2017,21(6):1073-1075. |
| 颈性眩晕病人椎-基底动脉形态异常及其邻近颈椎结构异常的多层螺旋CT血管成像对比研究 |
| Comparative study to morphology abnormality of vertebral-basilar artery and its adjacent structures in patients with cervical vertigo by multi-slice spiral CT angiography |
| 投稿时间：2016-08-01 |
| DOI： |
| 中文关键词: 眩晕 颈椎 体层摄影术,X线计算机 |
| 英文关键词: Cervical vertigo Cervical spine Tomography,X-ray computed |
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| 中文摘要: |
| 目的 探讨椎-基底动脉血管形态异常及周围结构异常与颈性眩晕的关系,寻找导致颈性眩晕的危险因素,为临床治疗提供依据。方法 搜集经临床诊断为颈性眩晕的病人56例作为眩晕组,另选取无眩晕症状者30例作为对照组,对比分析两组病人在椎-基底动脉形态异常(硬化性狭窄、发育不良、走行迂曲)和周围结构异常(颈椎失稳、钩椎关节增生、横突孔狭窄、椎间盘突出)的差异,并判断其与颈性眩晕的相关性。结果 眩晕组中硬化性狭窄、发育不良、走行迂曲和颈椎失稳明显高于对照组,差异有统计学意义(P<0.05)；钩椎关节增生、横突孔狭窄、椎间盘突出在两组中均有较高的发生率,但差异无统计学意义。结论 椎动脉硬化性狭窄、发育不良、走行迂曲和颈椎失稳是颈性眩晕的重要危险因素,其中椎动脉硬化性狭窄和颈椎失稳的影响作用较大,可能是颈性眩晕的独立危险因素。 |
| 英文摘要: |
| Objective To explore the relationship between morphology abnormality of vertebral-basilar artery and its adjacent structures and cervical vertigo.To search for the risk factors of cervical vertigo and to provide the objective basis for clinical treatment.Methods 56 patient with cervical vertigo diagnosed clinically were assigned as vertigo group and 30 patients without vertigo symptoms were chosen as control group.The difference between morphology abnormality of vertebral-basilar artery(vertebral artery sclerostenosis,congenital hypoplastic vertebral artery and vertebral artery circuity) and abnormality of adjacent structures (cervical spine instability,osteohypertrophy of uncovertebral joint,narrowed foramina than sversarium and disc herniation),and thereby judged their correlation with cervical vertigo were compared.Results The incidence of vertebral artery sclerostenosis,congenital hypoplastic Vertebral Artery,vertebral artery circuity and cervical spine instability in vertigo group were higher than in control group,there was statistically significant difference(P<0.05).Steohypertrophy of uncovertebral joint,narrowed foramina and disc herniation were with also higher incidence rates in two group,however there was no statistically significant difference.Conclusion Vertebral artery sclerostenosis,congenital hypoplastic vertebral artery,vertebral artery circuity and cervical spine instability were the important risk factors of cervical vertigo.Among them,the influence of vertebral artery sclerostenosis and cervical spine instability were significant,which may be the independent risk factors for cervical vertigo. |
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