【摘要】：目的依據(jù)國(guó)際脊柱畸形研究組(Spine Deformity Study Group SDSG)分型方法對(duì)青年軍人下腰椎峽部裂患者進(jìn)行分型,并針對(duì)其矢狀位參數(shù)特點(diǎn)進(jìn)行分析。方法回顧性分析2015年3月到2016年6月我科收住的峽部裂患者的臨床資料。并依據(jù)納入排除標(biāo)準(zhǔn)對(duì)其進(jìn)行篩選。依據(jù)SDSG分型方法對(duì)入選人群進(jìn)行分型,分析各型斜位X線(xiàn)片的影像學(xué)特點(diǎn)。同時(shí)對(duì)側(cè)位X線(xiàn)片上進(jìn)行脊柱-骨盆參數(shù)的測(cè)量(包括PI、PT、SS、LL、STA、STI、SP等),并對(duì)測(cè)量結(jié)果進(jìn)行組間統(tǒng)計(jì)學(xué)分析。結(jié)果共納入患者72例,其中“鉗夾型”17例,“剪切型”13例,“正�！�42例。統(tǒng)計(jì)結(jié)果顯示:各組間在年齡、滑脫百分比SP、骶骨平臺(tái)指數(shù)STI等方面無(wú)明顯差異;在LL、PT、SS和STA等方面存在著差異。“剪切型”和“鉗夾型”、“正常型”相比,“剪切型”在腰椎前凸角LL、骨盆傾斜角PT、骶骨傾斜角SS等方面均大于“鉗夾型”和“正常型”,而“剪切型”的骶骨平臺(tái)角STA較“鉗夾型”“正常型”明顯偏小,且這種差異具有統(tǒng)計(jì)學(xué)意義。相關(guān)性檢驗(yàn)顯示PI與LL、SS呈高度正相關(guān),與STA呈低度負(fù)相關(guān)。結(jié)論1.青年軍人下腰椎峽部裂患者經(jīng)SDSG分型后,“剪切型”較“正常型”、“鉗夾型”具有更大的LL、PT、SS以及更小的STA;2.PI與LL、SS呈高度正相關(guān)、與STA呈低度負(fù)相關(guān)。
[Abstract]:Objective to analyze the characteristics of sagittal parameters in young servicemen with lower lumbar spondylolysis according to the (Spine Deformity Study Group SDSG) classification method of international study group of spinal deformities. Methods the clinical data of patients with isthmic fissure admitted from March 2015 to June 2016 were analyzed retrospectively. They were screened according to the exclusion criteria. According to the method of SDSG classification, the imaging characteristics of each type of oblique radiographs were analyzed. The spinal and pelvic parameters (including PI,PT,SS,LL,STA,STI,SP, etc.) were measured on lateral radiographs, and the results were analyzed statistically. Results A total of 72 cases were included, including 17 cases of "clamp type", 13 cases of "shear type" and 42 cases of "normal". The statistical results showed that there were no significant differences in age, percentage of slippage, SP, sacral plateau index (STI), but there were differences in LL,PT,SS and STA among the groups. Compared with "clamp type", "shear type" and "normal type", the "shear type" was larger than the "clamp type" and "normal type" in the obliquity angle of LL, pelvic obliquity angle of lumbar vertebrae, PT, obliquity angle of sacrum, etc. The sacral plateau angle STA of the "shear type" was significantly smaller than that of the "clamp type" and "normal type", and the difference was statistically significant. Correlation test showed that PI was highly positively correlated with LL,SS and negatively correlated with STA. Conclusion 1. After SDSG classification, "shear type" was higher than "normal type", "clamp type" had greater LL,PT,SS and smaller STA;2.PI was highly positively correlated with LL,SS, and it was negatively correlated with STA.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R82

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