慢性下腰痛患者立位X线侧位片测量及其相关分析.PDF

1996 . 16 . 7 434 Ch inese Journal of O rthopaedics July V o l N o 慢性下腰痛患者立位X 线侧位片 测量及其相关分析 郑丰裕 　　摘要　作者通过对 160 例慢性下腰痛CLBP 患者的立位X 线平片进行测量结果发现CLBP 患者 的腰椎曲度减小与骶骨倾斜角呈明显正相关 = 0. 668 = 0. 01 两者在小于 40 岁年龄阶段内随增 r 龄而呈减小趋势腰椎曲度顶点下移至L 3 椎体以下者占 55% 同时发现前凸指数与腰骶角呈明显负相 关 = - 0. 483 = 0. 01 另外比较了同年龄阶段单纯 与腰椎间盘突出症患者的各测量值结果 r LBP 发现后者腰椎曲度、骶骨倾斜角和前凸指数明显减小 值 0. 05 和 值 0. 01 而腰骶角加大 值 P P P 0. 01 本测量揭示了腰椎在维持自身稳定时骨性结构的内在力学关系说明腰椎间盘突出症患者存 在更大的腰椎不稳定支持了在腰椎退行性变过程中椎间盘退化是原发的而小关节退化是继发的观 点 关键词　下腰痛　椎间盘退化　 线测量 X A Correlative Analysis of the Lateral Projection Radiogram on Standing Position in Patien ts with 　 . . Chron ic L ow Back Pa in Z heng F engy u D ep artm ent of O rthop ed ics T he F irst H osp ital of M ed ical 515041 S chool S hantou U niversity Guang d ong P rov ince Abstract　T h is study w as designed to investigate the degenerative patho logy of the lum bar and the lum bo sacral sp ine by m easuring the X ray film s on the lateral p ro jection on standing po sition in 160 cases of ch ronic low back pain CLBP . T he results revealed that the lum bar curvature w as decreasing = 0. 668 = 0. 01 .