先天性椎管狭窄对黄韧带骨化型胸椎管狭窄症发病年龄及病程的影响

发布时间：2018-07-16 12:50

【摘要】：目的:研究先天性椎管狭窄对黄韧带骨化型胸椎管狭窄症的发病年龄和病程的影响方法:收集50名对照组患者的CT影像学资料,包括椎管矢径、椎管横径、椎管面积,并以平均值-2*标准差定为先天性椎管狭窄的标准,根据此标准将50名实验组的黄韧带骨化型胸椎管患者分为2组:阳性组,表明该组患者伴有先天性椎管狭窄症;阴性组,表明该组患者无先天性椎管狭窄症。收集并比较两组患者发病年龄及症状持续时间。结果:本研究中采用的先天性椎管狭窄的标准为:T1,137.98mm2;T2,128.07mm2;T3,120.65 mm2;T4,124.50 mm2;T5,120.24 mm2;T6,121.89mm2;T7,121.13mm2;T8,122.05 mm2;T9,116.62 mm2;T10,119.12 mm2;T11,128.89 mm2;T12,163.70mm2。阳性组包括29名患者,阴性组包括21名患者,58.0%患者合并先天性椎管狭窄。阳性组与阴性组相比,椎管矢径、椎管面积较小,其差异有统计学意义,但椎管横径近似,其差异无统计学意义。阳性组发病年龄51.98±9.33岁,阴性组发病年龄59.4±8.36岁,t=13.475,p0.05,两组差异有统计学意义。阳性组症状持续时间为34.74±39.05月,阴性组为23.62±32.69月,t=㧟0.961,p0.05,两组差异无统计学意义。结论:黄韧带骨化型胸椎管狭窄症患者多伴有先天性椎管狭窄。该类病人发病年龄提前。但症状持续时间无差异。
[Abstract]:Objective: to study the effect of congenital spinal canal stenosis on the age and course of onset of ossification of ligamentum flavum thoracic spinal canal stenosis. Methods: Ct imaging data of 50 patients in control group were collected, including sagittal diameter, transverse diameter and area of spinal canal. According to this standard, 50 patients with ossified thoracic spinal canal of ligamentum flavum were divided into two groups: the positive group, which indicated that the group had congenital spinal canal stenosis, the negative group was the negative group. This group showed no congenital spinal stenosis. The age of onset and duration of symptoms were collected and compared between the two groups. Results: the standard of congenital spinal stenosis in this study was: T1137.98mm2T2128.07mm2T3120.65mm2T4124.50mm2T5120.24mm2T6121.13mm2T7121.13mm2T8122.05 mm2T9116.62 mm T1019.12119.12mm T10128.89mm T12128.89mm2mm. The positive group included 29 patients and the negative group included 21 patients (58.0%) with congenital spinal stenosis. The sagittal diameter and spinal canal area of the positive group were smaller than those of the negative group, the difference was statistically significant, but the transverse diameter of the spinal canal was similar, the difference was not statistically significant. The onset age of positive group was 51.98 卤9.33 years old, and that of negative group was 59.4 卤8.36 years old. The duration of symptoms in the positive group was 34.74 卤39.05 months, and that in the negative group was 23.62 卤32.69 months. There was no significant difference between the two groups. Conclusion: ossification of ligamentum flavum is associated with congenital spinal stenosis. The onset age of these patients was earlier. But there was no difference in duration of symptoms.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R681.5

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