本文選題：慢性非特異性下腰痛 + 骨盆傾斜��； 參考：《成都體育學(xué)院》2015年碩士論文

【摘要】：目的:了解慢性非特異性下腰痛患者骨盆傾斜情況,從影像學(xué)表現(xiàn)探討兩者的相關(guān)關(guān)系。方法:收集自2014年7月至2014年10月在四川省骨科醫(yī)院就診并行影像學(xué)檢查患者中篩選出符合條件患者的資料400例。運(yùn)用四川省骨科醫(yī)院影像系統(tǒng)軟件對DR影像資料進(jìn)行冠狀位骨盆傾斜角、骨盆投射角、骶骨傾斜角、腰骶角測量,根據(jù)正常值范圍對參數(shù)進(jìn)行分組。通過SPSS統(tǒng)計(jì)分析觀察:1.分組情況2.樣本參數(shù)值與各參數(shù)標(biāo)準(zhǔn)均值的差異3.各參數(shù)之間及各參數(shù)與年齡、性別、病程關(guān)系。結(jié)果:1.冠狀位骨盆傾斜角均值為1.66±1.23°;=0°組0例;0°且≤5°組388例,占97%;5°患者12例,占3%。2.SS均值34.12±8.05°;小SS組118例,占總體29.5%;正常SS組273例,占68.3%;大SS組9例,占2.3%。3.PI均值49.07±9.65°;小PI組69例,占17.3%;正常PI組308例,占77.0%;大PI組23例,占5.8%。4.LSA均值137.25±8.00°;小腰骶角組91例,占22.8%;正常腰骶角組300例,占75.0%;大腰骶角組,9例,占2.3%。5.骨盆在冠狀面左傾172例,占43%,右傾228例占57%。左傾與右傾患者的年齡、性別、病程對數(shù)及影像學(xué)參數(shù)值無統(tǒng)計(jì)學(xué)差異。6.骨盆在矢狀面后傾118例,占總體29.5%,前傾9例,占2.3%。7.SS、PI、LSA及(SS/PI)值較文獻(xiàn)中正常值均值小且存在顯著差異。8.不同性別患者LSA存在顯著差異。9.SS與病程對數(shù)呈正相關(guān);LSA與年齡、病程對數(shù)呈負(fù)相關(guān);冠狀位骨盆傾斜角與LSA呈正相關(guān);LSA與SS呈負(fù)相關(guān),SS與PI呈強(qiáng)正相關(guān)。結(jié)論:1.CNLBP患者骨盆冠狀位傾斜普遍存在,而傾斜程度低。2.CNLBP患者骨盆矢狀位傾斜以后傾為主,PI、SS、LSA較小者更易出現(xiàn)CNLBP癥狀。3.CNLBP患者中,女性LSA較男性LSA顯著減小,腰骶關(guān)節(jié)失穩(wěn)程度更大。4.CNLBP患者矢狀面平衡對冠狀面平衡有一定程度影響,而冠狀面傾斜方向與矢狀面傾斜方向無關(guān)。5.骨盆與腰椎在生物力學(xué)及相關(guān)功能上聯(lián)系緊密,相關(guān)影像學(xué)參數(shù)密切相關(guān)。6.通過影像學(xué)檢查明確CNLBP患者骨盆傾斜情況對診斷和治療具有較強(qiáng)的指導(dǎo)意義。
[Abstract]:Objective: to investigate the pelvic obliquity in patients with chronic nonspecific low back pain and to explore the correlation between them by imaging findings. Methods: from July 2014 to October 2014, 400 eligible patients were selected from the patients who were admitted to Sichuan Orthopaedic Hospital for imaging examination. The imaging system software of Sichuan Orthopaedic Hospital was used to measure the coronal pelvic tilt angle, pelvis projection angle, sacral angle and lumbosacral angle. The parameters were grouped according to the normal range. Through SPSS statistical analysis observation: 1. Subgroup 2. The difference between the sample parameter value and the standard mean value of each parameter is 3. The relationship between each parameter and age, sex and course of disease. The result is 1: 1. The mean angle of obliquity of pelvis in coronal position was 1.66 鹵1.23 擄/ 0 擄group (n = 388) and 鈮，

本文編號：2095589