成人腰椎椎孔增龄性变化的影像解剖学研究.pdfVIP

成人腰椎椎孔增龄性变化的影像解剖学研究 嘲 薛希瑞 王迎春杨桂姣+ (山西医科大学，山西太原030001) 【摘要】目的揭示正常成人腰椎椎孔随年龄增长的形态学变化规律。方法对200例受检者进行螺旋 CT扫描．测量腰椎椎孔横径和矢径、关节突关节间距、侧隐窝矢径及夹角等参数。按性别、年龄分组进行统计学 分析。结果 ①女性40岁~49岁组L3．L．、L；侧隐窝矢径，较其余各组减小(P0．05)；男性L；侧隐窝夹角在 50岁～59岁、60岁一组明显减小(P0．05)，女性则主要表现在30岁～39岁组较大(尸‘=o．05)。②椎孔矢径与侧 隐窝前后径及关节突关节间距呈正的直线相关关系。结论①腰椎椎孔的形态学变化受年龄因素影响；②椎孔 径线与侧隐窝前后径及关节突关节间距具有相关性。 【关键词】腰椎椎孔 多排螺旋CT增龄变化影像解剖学 anatomimlofthe ofadultlumbarvertebralforamen change I扣衄lging study agiI瞎induced Xue Medwd 030001 Ximi，WangYingchun，YangGuijiao．S托nxiUniversity，Taiyuan，Shartxi Evaluatethe induced ofadultlumbarvertebralforamen． 【Abstract】Objectiveaging morphologicalchanges reconstructionwas in200casesoflumbar MethodsThee—dimensional(3D)CT imaging performed spine．The diameterofvertebrM between and oflateral foramen，diameter transverse，sa舀ttal zygapophysialjoints，sagittalangle reoessusweremeasuredthe thenbe with andsex． by workstation，and computer statisticallyanalyzedgroupingage Results diameteroflateralrecessusof inwomenat4049were decreasedthan ①The k、I珥、k significant any sagittal other ofhteralreeessusinmen decreasedat50-59and (PO．05)butthe groups．The锄gle significantly 60-groups diameterofvertebralforamenWas linecorrelationwiththe wonlenat30—39(PO．05)．②The sagittal positivestraight between oflumbarvertebralforamenwereaffected diameter