Borden氏法与Harrison氏法测量颈椎曲度的一致性比较

Uniformity of the Borden′s and Harrison′s methods for measuring cervical spine alignment

中文关键词:  颈椎  曲度  测量方法

英文关键词:Cervical spine  Curvature  Measuring method

中文摘要:

  【摘要】 目的：比较Borden氏法与Harrison氏法测量颈椎曲度的一致性。方法：从2009年1月~2010年12月在我院体检中心接受颈椎X线片检查者中，筛选出近6个月内无颈肩部疼痛、X线片显示颈椎结构清晰完整且无颈椎骨折、感染、肿瘤、畸形、脱位等异常者205例，男93例，女112例，年龄15~79岁，平均38.3岁。在侧位X线片上分别用Borden氏法、Harrison氏法测量颈椎曲度，每种方法测量均由2位骨科医师分别进行，每位医师重复测量3次，测量结果取平均值。Borden氏法所测量的颈椎曲度深度值以相对值（颈椎曲度深度实测值/C4椎体矢状位前后径实测值）表示。对同一测量方法2位医师的测量结果进行配对t检验，了解不同测量人员在使用同一方法测量时所得数据的一致性，从而比较两种方法重复测量的一致性。结果：2位医师用Harrison氏法测得的颈椎曲度分别为33.0°±11.5°、34.8°±11.7°，两组数据之间有显著性差异（P＜0.01）；2位医师用Borden氏法测得的颈椎曲度分别为0.79±0.27、0.77±0.27，两组数据之间无显著性差异（P＞0.01）。结论：Borden氏法测量颈椎曲度的一致性较Harrison氏法好。

英文摘要:

  【Abstract】 Objective：To determine the uniformity of the Borden′s and Harrison′s methods for measuring cervical spine alignment.Method：Lateral X-rays of the cervical spines were taken in cases from healthcare center of Xuanwu Hospital，and patients with neck or shoulder pain in last six months and cervical spine fracture，infection，tumor，deformity or dislocation were excluded in this study.As a result，there were 205 volunteers meeting the inclusion criteria.There were 93 males and 112 females，with the average age of 38.3 years old（range，15-79 years old）.Two orthopaedic doctors were involved in the measurement，with each doctor repeating 3 times.The cervical lordosis measured by Borden′s method was defined by the ratio of measured value to sagittal diameter of C4.Paired-sample test was performed to determine the uniformity between two doctors′measurements.Result：The alignment curve by Harrison′ method from two doctors was 33.0°±11.5° and 34.8°±11.7° respectively，which showed significant difference（P＜0.01）；while that by Borden′ method was 0.79±0.27 and 0.77±0.27 respectively，which showed no significant difference（P＞0.01）.Conclusion：Borden′s method has uniformity than Harrison′s method for measuring cervical alinment.