退变性脊椎滑脱；腰椎；椎小关节；X线计算机体层摄影；关节重塑

退变性腰椎滑脱与椎小关节面方向的CT研究

http://www.100md.com 《河北北方学院学报》 2006年第5期

退变性脊椎滑脱；腰椎；椎小关节；X线计算机体层摄影；关节重塑,,退变性脊椎滑脱；腰椎；椎小关节；X线计算机体层摄影；关节重塑,1材料与方法,2结果,3讨

     【摘要】目的: 探讨腰椎退变性滑脱(DS)与椎小关节面方向的相关性。方法: 选取LDS确诊病例235例，其中男性67例，女性168例，年龄31～82岁，平均年龄5590±1082岁。选取因腰腿疼痛就诊，排除DS及腰骶部发育异常者作为对照组。分别测量DS组和对照组中L3~S1各节段的椎小关面倾斜角。分别做L4、L5前滑脱(单发)的DS组以及对照组各节段椎小关节面倾斜角与年龄的相关分析；将DS组与同年龄对照组同节段的椎小关节面倾斜角进行比较。结果: L4前滑脱(单发)的DS组中，L4~L5节段椎小关节面倾斜角与年龄之间呈现负相关(P<001)； L5前滑脱(单发)的DS，L5~S1节段椎小关节面倾斜角和年龄无相关(P>005) ；对照组L3~S1各节段椎小关节面倾斜角与年龄之间无相关(P>005)。L4、L5前滑脱(单发)的DS，40岁以下组和同龄对照组比较，椎小关节面倾斜角组间无差异(P>005)。结论: 椎小关节面的过度矢状面偏向并非DS的易患因素。L4前滑脱的DS，滑脱节段的椎小关节面方向随年龄增大而逐渐偏向矢状面，考虑为DS进程中椎小关节退变，关节面重塑形的结果。

    【关键词】退变性脊椎滑脱；腰椎；椎小关节；X线计算机体层摄影；关节重塑

    A CT Investigation of the Relationship between the Orientation of the Facet Joint and Lumbar Degenerative Spondylolisthesis

    ZHANG Zhe,YANG Yu,ZHANG Huijun

    Dept.CT,The CTM Hospital,Langfang,065000,Hebei,China

    【ABSTRACT】 Object: To explore the relationship between the orientation of the facet joint and lumbar degenerative spondylolisthesis. Methods: 235 patients with lumbar degenerative spondylolithesis(DS) were studied, whose ages range from 31 to 82 years old(the average age is 5590±1082 years), male 67, female 168 235 patients with low back pain or leg pain but ruled out DS were selected as the control group. The facet leaning angles of the L3S1 facet joints of the patients in the two groups were measured separately. To conducted Correlation analysis between the facet leaning angle of the facet joint and age in control group, between every facer leaning angles of the facet in L4 and L5 DS and age. To compare the facet leaning angle of the facet joint between DS and matched control group.Results: It is negative correlation between every angles of the facet joint in L4~L5 and age (P<001) in the L4 frontal DS group, zero correlation between every angles of the facet joint in L5S1 and age (P>005) in the L5 frontal DS group, zero correlation between every angles of the facet joint in L3S1 and age (P>005) in control group. In group of under 40 years old, every angles of the facet of L4, L5 frontal DS is no difference (P>005) compared with the control group. Conclusion: In L4 frontal DS group, the orientation of the joint closed to the sagittal direction as the patients age increasing. In L5 frontal DS group, zero correlation between every angles of the facet joint and age and no difference compared with the control group. ......

百拇医药网 http://www.100md.com/html/DirDu/2007/01/16/34/34/31.htm

您现在查看是摘要页，全文长 13719 字符。