發(fā)布時(shí)間：2018-06-12 11:27

  本文選題：腰椎滑脫 + 脊柱��； 參考：《新疆醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的：通過對我科腰椎滑脫患者脊柱-骨盆失狀位平衡參數(shù)的測量,探討腰椎滑脫患者脊柱-骨盆失狀面平衡參數(shù)的變化及各參數(shù)之間的相關(guān)性。方法：收集新疆醫(yī)科大學(xué)第一附屬醫(yī)院脊柱外科2012年2月至2014年2月收治的腰椎滑脫患者共40例的影像學(xué)資料(全脊柱X線片、MRI等)并測量脊柱-骨盆矢狀面平衡參數(shù)。其中包括：腰椎前凸角(1umbar lordosis,LL)、胸椎后凸角(thoracic kyphosis,TK)、骨盆入射角(pelvic incidence,PI)、骨盆傾斜角(pelvic tilt,PT)、骶骨傾斜A角(sacrum slop,SS)、脊柱矢狀垂直軸(Sagittal vertical axis,SVA)等。結(jié)果：通過對40例腰椎滑脫患者影像學(xué)資料的分析得出：腰椎前凸角(LL)的平均值為52.0°(35°-65°),明顯大于相關(guān)文獻(xiàn)報(bào)道的正常數(shù)值且差異有統(tǒng)計(jì)學(xué)意義(P0.05)；胸椎后凸角(TK)的平均值為36.0°(220-60°),明顯小于相關(guān)文獻(xiàn)報(bào)道的正常數(shù)值且差異有統(tǒng)計(jì)學(xué)意義(P0.05)；骨盆入射角(PI)的平均值為63.5°(45°-80-),明顯大于相關(guān)文獻(xiàn)報(bào)道的正常數(shù)值且差異有統(tǒng)計(jì)學(xué)意義(P0.05)；骨盆傾斜角(PT)的平均值為20.5°(10.70-35°),明顯大于相關(guān)文獻(xiàn)報(bào)道的正常數(shù)值且差異有統(tǒng)計(jì)學(xué)意義(P0.05)；骶骨傾斜角(SS)的平均值為45.3°(33°-52°),明顯大于相關(guān)文獻(xiàn)報(bào)道的正常數(shù)值且差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：脊柱-骨盆矢狀位平衡參數(shù)在腰椎滑脫的發(fā)生、發(fā)展、轉(zhuǎn)歸中均有明顯改變。腰椎滑脫發(fā)生后機(jī)體會出現(xiàn)相應(yīng)改變進(jìn)行代償,使得矢狀位重新平衡進(jìn)而防止駝背及俯視,同時(shí)這些相應(yīng)的變化會通過脊柱-骨盆矢狀位平衡參數(shù)體現(xiàn)出來。
[Abstract]:Objective: to investigate the changes of the spinal and pelvic disequilibrium parameters in patients with lumbar spondylolisthesis and the correlation between the parameters. Methods: the imaging data of 40 patients with lumbar spondylolisthesis admitted in the first affiliated Hospital of Xinjiang Medical University from February 2012 to February 2014 were collected and the sagittal balance parameters of spine and pelvis were measured. These include: lumbar LLV, thoracic kyphosisus, pelpelvic occidence, pelvic tilvic, sacrum slant, Sagittal vertical axis-SVA, etc. Results: by analyzing the imaging data of 40 patients with lumbar spondylolisthesis, it was concluded that the average value of LLL in lumbar spondylolisthesis was 52.0 擄-35 擄-65 擄, which was significantly higher than the normal value reported in relevant literature and the difference was statistically significant (P0.05). The mean value was 36.0 擄/ 220-60 擄/ m, which was significantly smaller than the normal value reported in the relevant literature and the difference was statistically significant (P 0.05), and the average value of pelvic incidence angle (Pi) was 63.5 擄/ 45 擄-80-m, which was obviously larger than the normal value reported in the relevant literature and the difference was statistically significant (P 0.05), and the pelvic inclination was significantly higher than that of the normal value reported in the relevant literature (P 0.05). The average value of PTT was 20.5 擄~ 10.35 擄/ m, which was significantly higher than the normal value reported in relevant literature and the difference was statistically significant (P < 0.05), and the average value of sacral obliquity angle (SSS) was 45.3 擄(33 擄-52 擄), which was significantly higher than the normal value reported in related literature and the difference was statistically significant (P 0.05). Conclusion: the sagittal balance parameters of spine and pelvis have obvious changes in the occurrence, development and outcome of lumbar spondylolisthesis. After the occurrence of lumbar spondylolisthesis there will be corresponding changes in the body to compensate the sagittal position rebalance to prevent hunchback and overlooking and these changes will be reflected by the spine-pelvis sagittal balance parameters.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3
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本文編號：2009508