新疆哈萨克族腰椎椎弓根解剖测量的临床价值

发布时间：2018-05-06 06:11

本文选题：腰椎椎弓根 + 三维CT　；参考：《中国矫形外科杂志》2017年09期

【摘要】：[目的]测量新疆托里县哈萨克族腰椎椎弓根形态及解剖学特点,对比汉族与新疆哈萨克族腰椎椎弓根解剖学特征的差异,为哈萨克族腰椎疾患的手术技巧及手术器械的特异性选择做有效的数据参考。[方法]在本院分别随机抽取病房、门诊患者及健康志愿者汉族60例(男30例,女30例)哈萨克族60例(男30例,女30例),年龄25~55岁。按照性别进行分组,通过CT及三维重建技术测量L_(1~5)椎体的横径和矢状径。所有入选患者经过询问病史排除先天性及遗传性疾病,行X线检查排除腰椎病理性改变。[结果]腰椎椎弓根矢状径与横径指标男性组均大于女性组,差异有统计学意义(P0.05)。哈萨克族腰椎各径线值明显大于汉族(P0.05)。[结论]与汉族平均值相比,哈萨克族的腰椎椎弓根横径与矢状径值均明显偏大;因此在目前的腰椎手术过程中,无论是手术方式的选择还是内固定器械的选择都与汉族人有一定差别。
[Abstract]:[objective] to measure the morphology and anatomical characteristics of lumbar pedicle in Kazak nationality in Tori County, Xinjiang, and to compare the anatomical characteristics of lumbar pedicle between Han nationality and Xinjiang Kazak nationality. To provide an effective data reference for the surgical techniques and the specific selection of surgical instruments in Kazak patients with lumbar spine diseases. [methods] A total of 60 Kazakh (male 30, female 30) Kazakh patients (30 males and 30 females), aged 2555 years, were randomly selected from our hospital. The transverse and sagittal diameters were measured by CT and 3D reconstruction. All patients were examined for congenital and hereditary diseases, and X-ray examination was performed to exclude pathological changes of lumbar vertebrae. [results] the sagittal diameter and transverse diameter of lumbar pedicle were higher in male group than in female group, and the difference was statistically significant (P 0.05). The values of lumbar vertebrae in Kazak were significantly higher than those in Han nationality (P 0.05). [conclusion] compared with the average of Han nationality, the transverse diameter and sagittal diameter of lumbar pedicle in Kazakh nationality are obviously larger than that of Han nationality, so in the present lumbar surgery, The choice of operation or internal fixation instrument is different from that of Han nationality.
【作者单位】：新疆托里县人民医院外二科;新疆维吾尔自治区人民医院骨科中心;
【基金】：新疆塔城市青年科研项目
【分类号】：R322.7;R816.8

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