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目的本文旨在探讨Ｘ线平片在颈椎病诊断中的意义。材料及方法对１５６例颈椎病及１６５例单纯颈椎退变的Ｘ线平片的各项Ｘ线表现，用两种方法作了对照分析（１）不按Ｘ线改变程度，对两组各项Ｘ线异常的发生率作对照分析；（２）按Ｘ线改变程度，对两组各项Ｘ线明显异常的发生率作对照分析。结果按（１）法，两组在椎体后缘骨刺，曲度异常，椎间隙变窄，钩椎关节及后关节突退变，椎间孔变窄，韧带钙化等各项Ｘ线异常的发生率相差不明显（Ｐ＞０．０５）；而按（２）法，两组在上述各项Ｘ线异常及椎体滑脱或旋转，椎管真实失径变窄的发生率相差非常显著（Ｐ＜０．０１）．结论明显Ｘ线异常对颈椎病有非常重要的诊断意义。
The purpose of this paper is to explore the significance of X-ray film in the diagnosis of cervical spondylosis. Materials and Methods The X-ray manifestations of 156 cases of cervical spondylosis and 165 cases of simple cervical spine degeneration were analyzed by two methods. (1) Not to change the degree of X-ray, X-ray abnormalities as control analysis of the incidence; (2) according to the degree of X-ray changes, the incidence of X-ray obvious abnormalities in both groups for the control analysis. Results According to the method of (1), the X-ray abnormalities of the posterior marginal spondylolisthesis, abnormal curvature, narrowing intervertebral space, degeneration of the lumbar and posterior articular process, narrowing of intervertebral foramina and ligament calcification (P> 0.05). According to the method of (2), the difference between the X-ray abnormalities and vertebral body spondylolisthesis or rotation and the actual loss of spinal canal narrowing was very significant P <0.01). Conclusions Obvious X-ray abnormalities have very important diagnostic significance for cervical spondylosis.