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颈椎术后轴性症状与影像学评价指标相关性的研究进展
Research progress of the correlation between postoperative cervical axial symptoms and imaging evaluation indexes
投稿时间:2022-02-14  
DOI:10.3969/j.issn.1672-5972.2023.01.016
中文关键词:  颈椎术后  轴性症状  影像学评价指标
英文关键词:Postoperative cervical  Axial symptoms  Imaging evaluation indexes
基金项目:
作者单位邮编
仇子叶* 北京中医药大学东直门医院北京100700 100700
马昱堃 北京中医药大学东直门医院北京100700 100700
俞兴 北京中医药大学东直门医院北京100700 100700
杨永栋 北京中医药大学东直门医院北京100700 100700
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中文摘要:
      目前,临床上将颈椎术后颈项及肩背部疼痛、僵硬、肌肉紧张酸胀及活动受限等不适感称为轴性症状(AS)。颈椎术后轴性症状的评价及影响因素尚无统一标准,既往众多影响因素中研究较多的是颈椎手术方式,而颈椎影像学参数评价指标与术后轴性症状的相关性是近年来脊柱外科医生研究的热点问题。颈椎手术方式的选择以及大部分颈椎影像学评价指标的改变所引起的术后轴性症状或许均与颈后肌肉、韧带等软组织结构的力学环境和运动模式改变相关。颈后肌肉、韧带等软组织与颈椎影像学评价指标之间存在相互关联,若要进一步分析术后轴性症状的相关因素,则需相互结合,从整体考虑。
英文摘要:
      At present, postoperative cervical neck, shoulder and back pain, stiffness, muscle tension, acid swelling and limited activity and other discomfort are called axial symptoms clinically. There is no unified standard for evaluation criteria and influencing factors of axial symptoms after cervical spine surgery. In the past, the most studied factors are the cervical surgery methods, and the correlation between cervical imaging evaluation indexes and postoperative axial symptoms has been a hot topic for spinal surgeons in recent years. Postoperative axial symptoms caused by the choice of cervical surgery method and the change of most cervical imaging evaluation indexes may be related to the mechanical environment and motion mode change of soft tissue structures such as posterior cervical muscles and ligaments. The soft tissue such as posterior cervical muscles and ligaments is correlated with the imaging evaluation indexes of cervical spine. In order to further analyze the factors related to postoperative AS, it is necessary to combine them and consider them as a whole.
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