脊柱负荷增加对腰椎骨质增生及腰椎间盘病变影响的CT研究

发布时间：2019-04-22 15:30

【摘要】：目的探讨脊柱负荷对腰椎骨质增生及腰椎间盘病变的影响。方法回顾性分析342例腰椎骨质增生及椎间盘病变患者的CT表现,其中研究组173例,对照组169例。结果 1腰椎间盘病变:研究组与对照组比较,差异有统计学意义(P0.05)。研究组以不对称性椎间盘膨出(109/173)发病率最高,对照组以对称性椎间盘膨出(62/169)发病率最高。2腰椎骨质增生,研究组与对照组比较,差异有统计学意义(P0.05)。3两组病例,腰椎体骨质增生及椎间盘病变顺序无差异,骨质增生为:椎体前缘、椎体侧缘、椎体后缘。腰椎间盘病变为:腰4、5,腰5骶1,腰3、4,腰2、3,腰1、2。4两组病例,腰椎体骨质增生及椎间盘病变发病率:研究组与对照组比较,差异有统计学意义(P0.05)。结论脊柱负荷与腰椎骨质增生及腰椎间盘病变发病率呈正相关。
[Abstract]:Objective to investigate the effect of spinal loading on lumbar hyperosteogeny and lumbar intervertebral disc disease. Methods the CT findings of 342 cases of lumbar hyperosteogeny and intervertebral disc disease were retrospectively analyzed, including 173 cases in the study group and 169 cases in the control group. Results 1 Lumbar intervertebral disc lesion: there was significant difference between the study group and the control group (P0.05). The incidence rate of asymmetrical disc protrusion (109 / 173) was the highest in the study group, and that of the control group was the highest in the symmetrical disc protrusion (62 / 9 / 169). 2 the hyperosteogeny of the lumbar vertebrae was observed in the study group and in the control group. The difference was statistically significant (P0.05) .3There was no difference between the two groups in the sequence of lumbar hyperosteogeny and intervertebral disc lesion, and the hyperosteogeny was: anterior edge of vertebral body, lateral margin of vertebral body and posterior margin of vertebral body. Lumbar intervertebral disc lesions: lumbar 4, 5, 5 sacral 1, 3, 4, 2, 3, 1, 2.4 cases, the incidence of lumbar bone hyperplasia and intervertebral disc disease: the study group and the control group, the difference was statistically significant (P0.05). Conclusion Spinal load is positively correlated with the incidence of lumbar hyperosteogeny and lumbar intervertebral disc disease.
【作者单位】：吉林北华大学第一临床医学院CT、MRI科;
【分类号】：R681.53;R816.8

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