【摘要】：目的研究腰椎終板形態(tài)變化與椎間盤退變的相關(guān)性,探討二者之間的因果關(guān)系。方法回顧性分析2010年1月~2015年12月廣東省佛山市順德龍江醫(yī)院80例患者腰椎間盤MRI影像資料,觀察患者L_(1~2)至L_5~S_15個節(jié)段前后兩次檢查終板形態(tài)的變化和腰椎間盤退變程度的變化,分析兩者的變化規(guī)律。結(jié)果所選80例患者共800個節(jié)段的終板和椎間盤,凹陷型終板對應(yīng)的椎間盤退變程度大多在Ⅰ~Ⅱ級(79.9%),而不規(guī)則型終板多對應(yīng)的椎間盤退變程度為Ⅲ~Ⅴ級(75.8%),平坦型終板對應(yīng)的椎間盤退變程度無明顯分布規(guī)律。從凹陷型到平坦型再到不規(guī)則型終板形態(tài)對應(yīng)的椎間盤退變程度逐漸加重,差異有統(tǒng)計學(xué)意義(P0.05)。終板形態(tài)改變優(yōu)先于腰椎間盤退變程度改變者共25對(6.3%),而腰椎間盤退變程度改變先于終板形態(tài)變化者有207對(51.8%),剩余的168對相應(yīng)的終板形態(tài)和腰椎間盤退變程度無法準確判定何種改變在先。腰椎間盤退變程度的改變占優(yōu)勢的節(jié)段明顯多于終板形態(tài)改變占優(yōu)勢的節(jié)段,兩者差異有高度統(tǒng)計學(xué)意義(P0.01)。結(jié)論腰椎終板形態(tài)與椎間盤退變程度存在一定的相關(guān)性,并且腰椎間盤退變程度的變化大多要早于終板形態(tài)的變化,腰椎間盤退變可能是導(dǎo)致終板形態(tài)改變的重要原因。
[Abstract]:Objective to study the correlation between the morphological changes of lumbar endplate and intervertebral disc degeneration, and to explore the causality between them. Methods the MRI imaging data of 80 patients with lumbar intervertebral disc in Shunde Longjiang Hospital, Foshan City, Guangdong Province from January 2010 to December 2015 were analyzed retrospectively. The morphological changes of endplate and the degree of lumbar disc degeneration were observed before and after L1 鈮，

本文編號：2475028