关节突关节不对称与腰椎间盘突出位置的关系-中国康复医学杂志.PDFVIP

ChineseJournalofRehabilitationMedicine, Dec.2014,Vol. 29,No.12 ·临床研究· 关节突关节不对称与腰椎间盘突出位置的关系* 1 2，3 1 1 邹兆华 杨卫新 刘 琴 杜 欢 摘要 目的：评估关节突关节不对称与腰椎间盘突出的关系。 方法：96 例单节段腰椎间盘突出患者，用CT 测量关节突关节形态，与没有椎间盘突出的自身临近节段对照，比较两 者之间的相关性。同时观察腰椎间盘突出位置与关节突关节方向的关系。 结果：椎间盘突出在L4/5 节段是56 个(58.33%) ，在L5/S 1节段是40 个(41.66%)。59 例突向左侧（61.46% ），37 例突出 右侧(38.54%)。L4/5 椎间盘突出节段存在关节不对称的为8/56 ，对照节段存在关节不对称的为2/40(P0.05), L5/S 1 椎间盘突出节段存在关节不对称的为12/40,对照节段为4/56(P0.05) 。关节突关节不对称与腰椎间盘突出总体存 在相关性(P0.01) 。关节突关节不对称与腰椎间盘突出在L5/S 1节段存在相关(P0.05) ，而在L4/5 节段无相关(P 0.05) 。腰椎间盘突出在哪一侧与关节突关节角度形态无关(P0.05) 。 结论：关节突关节不对称与腰椎间盘突出存在相关，但突出的位置与关节角度无关。 关键词 关节突关节；关节突关节不对称；椎间盘突出；腰痛 中图分类号：R685 ，R493 文献标识码：A 文章编号：1001-1242（2014 ）-12-1138-04 The association of facet joint tropism: with lumbar disc herniation/ZOU Zhaohua，YANG Weixin，LIU Qin，et al.//ChineseJournal of RehabilitationMedicine,2014,29(12):1138—1141 Abstract Objective: To evaluate association of facet tropism（FT ）with lumbar disc herniation(LDH). Method: Ninety-six ( 17—57 years) patients with single level disc herniation (L3/L4, L4/L5, or L5/S 1) were in- cluded in the study. Morphology of facet joint was measured using CT.Normal disc adjacent to the herniated level was used as control. The localization of herniated disc and the orientation of facet joint were also exam- ined. Result: In 96 LDH patients there were 56 herniations at L4/5 level (58.33%) and 40 at L5/S 1 (41.66%). Herni- ations on the left side were in 59 cases (61.46%) and on the right side were in 37 cases (38.54%). At L4/L5 level, 8/56 cases had tropism, while in controls only 2/40(P0.05). At L5/S 1 level, 12/40 cases had tropism, while in controls 4/56(P0.05). The overall association of FT with lumbar disc herniation was found to be highly