骶髂关节半脱位的解剖及临床研究

发布时间：2018-07-04 12:23

本文选题：骶髂关节 + 副骶髂关节　；参考：《南方医科大学》2008年硕士论文

【摘要】： 目的 1.为临床骶髂关节半脱位的诊断提供解剖学依据。 2.全面回顾总结和分析骶髂关节错位的临床状况,为临床诊治提供依据。 3.为临床提供一种简单实用的检查AS的物理方法。方法 1.选取112例干燥成人骶骨,观察双侧骶髂关节耳状面及副骶髂关节,并测量二者下缘位置、最大横径、最大纵径,所得数据用SPSS13.0进行相关分析; 2.对相关文献进行收集、整理、分析和总结; 3.对34例AS患者的“4”字试验、骨盆挤压分离试验和骶髂关节叩击试验的阳性率和疼痛量化评分进行比较。结果 1.双侧均有副骶髂者26例,单侧有者14例(左侧8例,右侧6例),副骶髂关节最大横径为2.30cm,最大纵径为2.80cm,下缘位置多平对S_3;耳状面最大横径为2.55cm,最大纵径为5.35cm,下缘位置多平对S_2～S_3之间。 2.对骶髂关节错位的病因、病理、临床表现和诊治,中医有一套比较完整的体系。 3.“4”字试验和骶髂关节叩击试验的阳性率和量化评分高于骨盆挤压分离试验(P0.05);而骶髂关节叩击试验的NPRS疼痛评分高于“4”字试验(P0.05). 结论 1.骶髂关节耳状面是一个很不规则且凸凹不平的关节面,因而骶髂关节半脱位发生的可能性很小; 2.对骶髂关节错位的治疗手法有特色,但诊疗标准中缺少客观化的指标,需要进一步的完善。 3.骶髂关节叩击试验可以作为检查AS的常规方法。
[Abstract]:Objective 1. To provide anatomic basis for the diagnosis of sacroiliac joint subluxation. 2. The clinical status of sacroiliac joint dislocation was reviewed and analyzed in order to provide basis for clinical diagnosis and treatment. To provide a simple and practical physical method for the examination of as in clinic. Method 1. 112 cases of dry adult sacrum were selected to observe the auricular plane of bilateral sacroiliac joint and the accessory sacroiliac joint, and to measure the position, maximum transverse diameter and maximum longitudinal diameter of both sides. The data were analyzed by SPSS 13.0; 2. Collect, organize, analyze and summarize related documents. 3. The positive rate and quantitative pain score of "4" word test, pelvis extrusion test and sacroiliac joint percussion test were compared in 34 patients with as. Result 1. Bilateral paracral iliac was found in 26 cases, unilateral in 14 cases (left 8 cases, left 8 cases). The maximum transverse diameter and longitudinal diameter of the accessory sacroiliac joint were 2.30 cm, 2.80 cm and 2.80 cm, respectively. The maximum transverse diameter of ear plane was 2.55 cm and the maximum longitudinal diameter was 5.35 cm. The etiology, pathology, clinical manifestation, diagnosis and treatment of sacroiliac joint dislocation, 3. The positive rate and quantitative score of "4" test and sacroiliac joint percussion test were higher than that of pelvis extrusion test (P0.05), while the NPRS pain score of sacroiliac joint percussion test was higher than that of pelvic extrusion test (P0.05). Higher than "4" test (P0.05). Conclusion 1. The auricular surface of sacroiliac joint is a very irregular and concave articular surface, so the possibility of sacroiliac joint subluxation is very small; 2. The treatment of sacroiliac joint dislocation has its own characteristics, but there is a lack of objective index in diagnosis and treatment standard, which needs to be further improved. 3. Sacroiliac joint percussion test can be used as a routine method for as examination.
【学位授予单位】：南方医科大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R322;R684

【参考文献】