本文選題：骶髂關節(jié) + 副骶髂關節(jié)��； 參考：《南方醫(yī)科大學》2008年碩士論文

【摘要】： 目的 1.為臨床骶髂關節(jié)半脫位的診斷提供解剖學依據。 2.全面回顧總結和分析骶髂關節(jié)錯位的臨床狀況,為臨床診治提供依據。 3.為臨床提供一種簡單實用的檢查AS的物理方法。 方法 1.選取112例干燥成人骶骨,觀察雙側骶髂關節(jié)耳狀面及副骶髂關節(jié),并測量二者下緣位置、最大橫徑、最大縱徑,所得數據用SPSS13.0進行相關分析; 2.對相關文獻進行收集、整理、分析和總結; 3.對34例AS患者的“4”字試驗、骨盆擠壓分離試驗和骶髂關節(jié)叩擊試驗的陽性率和疼痛量化評分進行比較。 結果 1.雙側均有副骶髂者26例,單側有者14例(左側8例,右側6例),副骶髂關節(jié)最大橫徑為2.30cm,最大縱徑為2.80cm,下緣位置多平對S_3;耳狀面最大橫徑為2.55cm,最大縱徑為5.35cm,下緣位置多平對S_2～S_3之間。 2.對骶髂關節(jié)錯位的病因、病理、臨床表現和診治,中醫(yī)有一套比較完整的體系。 3.“4”字試驗和骶髂關節(jié)叩擊試驗的陽性率和量化評分高于骨盆擠壓分離試驗(P0.05);而骶髂關節(jié)叩擊試驗的NPRS疼痛評分高于“4”字試驗(P0.05). 結論 1.骶髂關節(jié)耳狀面是一個很不規(guī)則且凸凹不平的關節(jié)面,因而骶髂關節(jié)半脫位發(fā)生的可能性很小; 2.對骶髂關節(jié)錯位的治療手法有特色,但診療標準中缺少客觀化的指標,需要進一步的完善。 3.骶髂關節(jié)叩擊試驗可以作為檢查AS的常規(guī)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.
【學位授予單位】：南方醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2008
【分類號】：R322;R684

【參考文獻】

相關期刊論文 前9條

1 賀宗禮，李永清，，賀亞萍;手法治療骶髂關節(jié)錯縫123例[J];廣西中醫(yī)藥;1996年03期

2 李明;骶髂關節(jié)的解剖學和生物力學研究現狀[J];骨與關節(jié)損傷雜志;2003年07期

3 郭健紅;林木南;高暉;張義;;手法整復治療骶髂關節(jié)錯位240例[J];福建中醫(yī)藥;2005年06期

4 欒明擁,欒明義,汪超,薛旺;欒氏正骨診治骨關節(jié)錯縫的特點[J];遼寧中醫(yī)雜志;2002年08期

5 龍層花,鐘士元,王廷臣;骨盆旋移綜合征[J];頸腰痛雜志;2004年03期

6 陳肅標;骶髂關節(jié)的應用解剖學[J];實用醫(yī)學雜志;2002年02期

7 蔡克冬,池開宇;骶髂關節(jié)骨錯縫誤診為腰椎間盤突出癥9例臨床分析[J];中國中醫(yī)骨傷科;1998年04期

8 丁健;女性強直性脊柱炎與女性致密性骶髂關節(jié)炎患者臨床特點比較[J];浙江醫(yī)學;2004年04期

9 尚燕寧,趙天佐,張雪哲,孫海軍;強直性脊柱炎骶髂關節(jié)和髖關節(jié)的CT表現[J];中日友好醫(yī)院學報;2005年01期

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