探讨青少年腰椎间盘突出症与腰椎骶化的关系的临床研究

发布时间：2018-11-07 11:30

【摘要】：目的：回顾分析15例青少年腰椎间盘突出症合并腰椎骶化的临床资料，探讨青少年腰椎间盘突出症与腰椎骶化的关系。方法：将2010年7月到2012年1月门诊及病房收治的99例因各种愿意原因而行腰椎X线片检查的青少年患者分为对照组：因非椎间盘突出症原因而行腰椎X线片检查者和经MRI证实腰椎间盘突出症组，进行腰椎X线片及MRI检查。比较两组患者的腰椎正位x线片，统计两组患者腰椎骶化发生率的差异及腰椎骶化与腰椎间盘突出部位的关系。结果：对两组检查结果进行比较分析后发现对照组腰椎骶化的发生率为7.7％；腰椎间盘突出症组腰椎骶化的发生率为31.9％。两组问差异有统计学意义。腰椎间盘突出症组中合并腰椎骶化者椎间盘突出发生于腰椎骶化上一间隙者为73.3％；单侧腰椎骶化椎间盘突出发生在腰椎骶化同侧者占72.7％，其中在腰椎骶化上一间隙者占87.5％；发生在腰椎骶化对侧者占18.2％，突出全部发生在下一间隙。结论：腰椎骶化在青少年腰椎间盘突出症患者中的发生率明显增高，，是青少年腰椎间盘突出症的重要诱发因素之一。
[Abstract]:Objective: to study the relationship between lumbar disc herniation and lumbosacral herniation in 15 adolescent patients with lumbar disc herniation. Methods: from July 2010 to January 2012, 99 adolescent patients who had undergone lumbar vertebrae X-ray examination from July 2010 to January 2012 were divided into control group: lumbar vertebrae X-ray examination due to non-disc herniation. Patients and patients with MRI confirmed lumbar disc herniation, Lumbar X-ray and MRI examination were performed. The incidence of lumbar sacral degeneration and the relationship between lumbar sacral degeneration and lumbar disc herniation were compared between the two groups. Results: by comparing and analyzing the results of the two groups, it was found that the incidence of lumbosacral degeneration was 7.7 in the control group and 31.9in the lumbar disc herniation group. The difference between the two groups was statistically significant. In the lumbar disc herniation group, 73.3% of the patients with lumbar disc herniation were involved in lumbar disc herniation. Unilateral sacral disc herniation occurred in the ipsilateral lumbar vertebrae (72.7%), in which 87.5% occurred in the upper space of the sacral lumbar vertebrae and 18.2% in the opposite side of the lumbar vertebrae, all of which occurred in the next space. Conclusion: the incidence of lumbar sacral herniation in adolescent patients with lumbar disc herniation is significantly higher and is one of the important inducing factors of adolescent lumbar disc herniation.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R681.53

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