本文選題：腰椎間盤突出癥 + 腰椎曲度��； 參考：《廣東醫(yī)學(xué)》2017年24期

【摘要】：目的探討腰椎間盤突出癥嚴(yán)重程度與腰椎曲度的關(guān)系。方法隨機抽取52例保守治療無效需開放手術(shù)治療的腰椎間盤突出癥患者作為手術(shù)組,同時從保守治療有效腰椎間盤突出癥患者、體檢科正常人員中選取年齡及性別相匹配的52例分別作為保守治療組、正常組,3組皆在腰椎側(cè)位X線片上測量腰椎曲度的腰椎曲線指數(shù)、腰椎前凸角度、骶骨傾斜角、Harrison椎體后緣切線角,并對所測量數(shù)值作統(tǒng)計學(xué)分析。結(jié)果腰椎曲線指數(shù)、腰椎前凸角度、骶骨傾斜角、Harrison椎體后緣切線角在3組比較均差異有統(tǒng)計學(xué)意義(P0.01),手術(shù)組的4種測量值均比正常組明顯減小(P0.01),腰椎前凸角度及骶骨傾斜角比保守治療組減小(P0.05),但腰椎曲線指數(shù)及Harrison椎體后緣切線角與保守治療組差異無統(tǒng)計學(xué)意義(P0.05),保守治療組的腰椎曲線指數(shù)、腰椎前凸角度、Harrison椎體后緣切線角均比正常組小(P0.01),但骶骨傾斜角與正常組差異無統(tǒng)計學(xué)意義(P=0.102)。結(jié)論腰椎盤突出癥越嚴(yán)重患者其腰椎曲度異常改變也越明顯,在臨床治療中應(yīng)意識到腰椎曲度的重要性。
[Abstract]:Objective to investigate the relationship between the severity of lumbar disc herniation and lumbar curvature. Methods A total of 52 patients with lumbar disc herniation were randomly selected as the operation group, and the patients with effective lumbar disc herniation were treated with conservative treatment. 52 patients with age and sex matching were selected as conservative treatment group. The lumbar curve index and lumbar kyphosis angle of lumbar curvature were measured on lateral radiographs in normal group. The sacral obliquity angle and the posterior edge tangent angle of Harrison vertebra were analyzed statistically. Results the curve index of lumbar vertebrae, the angle of lumbar kyphosis, There were significant differences in the posterior edge tangential angle of the sacrum angle between the three groups (P0.01). The four measurement values of the operation group were significantly lower than those of the normal group (P0.01), the lumbar kyphosis angle and the sacral angle of the treatment group were lower than that of the conservative treatment group (P0.05), but the lumbar waist angle of the operation group was lower than that of the conservative treatment group (P0.05). There was no significant difference in vertebral curve index and Harrison posterior edge tangential angle between the conservative treatment group and the conservative treatment group (P0.05). The lumbar spine curve index in the conservative treatment group was higher than that in the conservative treatment group. The angle of posterior edge tangent of Harrison vertebral body was smaller than that of normal group (P0.01), but there was no significant difference between the angle of sacral obliquity and that of normal group (P0. 102). Conclusion the more severe the lumbar disc herniation, the more obvious the abnormal changes of lumbar curvature are, and the importance of lumbar curvature should be recognized in clinical treatment.
【作者單位】： 佛山市禪城區(qū)中心醫(yī)院脊柱外科;廣東醫(yī)科大學(xué)第一臨床醫(yī)學(xué)院;
【基金】：佛山市醫(yī)學(xué)類科技攻關(guān)項目(編號:2016AB001541)
【分類號】：R681.53

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