《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (8): 780-784.

• 临床观察 • 上一篇    下一篇

儿童颈性眩晕患者的颈椎X线片及经颅多普勒超声特征

尹伦辉1，敖晓龙1，沈彤1，梁伟坚1，曾丽娴2，李丽1，谌凌燕1，吴泽勇1，许伟丹1
   

  1. 1.广州医科大学附属第一医院康复科，广东广州市510120；2.广州医科大学附属第二医院，广东广州市510260
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-25 发布日期:2014-08-25

Features of Cervical Vertebra X-ray Examination and Transcranial Doppler in Children with Cervical Vertigo

YIN Lun-hui, AO Xiao-long, SHEN Tong, LIANG Wei-jian, ZENG Li-xian, LI Li, SHEN Ling-yan, WU Ze-yong, XU Wei-dan.
  

  1. Department of Rehabilitation Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510120, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-25 Online:2014-08-25

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被引次数

1

摘要： 目的分析颈性眩晕儿童的颈椎X线片及经颅多普勒超声(TCD)特征，探讨发病机理。方法对80 例颈性眩晕儿童进行颈椎X线片及TCD检查，分析其特点。结果本组患儿的颈椎X线片异常主要为寰枢椎或/和C2、C3椎关节紊乱，可并发颈椎失稳、颈曲变直甚至颈曲反弓、颈轴侧弯；异常TCD表现以单支或多支动脉血流速度增快为主，少数表现为单支或多支动脉血流速度减慢及双侧血流速度不对称。结论儿童颈性眩晕的病变部位主要在寰枢椎或/和C2、C3椎，发病机制主要为寰枢椎或/和C2、C3椎间多种形式的关节紊乱。

关键词: 儿童, 颈性眩晕, 颈椎X线片检查, 经颅多普勒超声, 关节紊乱

Abstract: Objective To analyze the features of cervical vertebra X-ray examination and transcranial Doppler (TCD) in children with cervical vertigo, and investigate the mechanism of the disease. Methods X-ray examination of cervical vertebra and TCD were performed on 80 children with cervical vertigo, and the features of the results were analyzed. Results The abnormal results of cervical X-ray examination mainly showed atlantoaxial joint or/and C2, C3 vertebral joint disorders, some of which combined with cervical instability, cervical curvaturestraightened and even reverse curvature, cervical scoliosis. The abnormal results of TCD showed the blood flow velocity in single or multiple branch of artery increased mainly, some of which decreased or became asymmetrial. Conclusion The cervical vertigo in children may result from various kinds of disorders of the atlas, axis or/and C2, C3 vertebrae.

Key words: children, cervical vertigo, cervical X-ray imaging examination, transcranial Doppler, joint disorders