正常成人腰椎X线影像计量学参数的测量与临床分析-中国骨质疏松杂志.PDF

中国骨质疏松杂志 1997年2月第 3卷第i期 29 正常成人腰椎X线影像计量学参数的 测量与临床分析 王觉英 吕行素 邱明才 刘 磊 摘要 作者拍摄了70名正常中国成』、腰椎x线平片，男女各一半，i0岁为一年龄组，每组7^ 用 MOP—Videop[an图像仪描记，测得10项包括椎体宽度、长度、高度、面积等二维参数及计算的三维体积参 数 数据表明，男性各推体的理想圆柱体积及吾项参数的均值与年龄显著相关，而女性则无相关 最后．我 们尝试性解释男女这种差异的可能机理 女性因为绝经期后骨量的迅速丢失．其椎体体积的相对恒定可 能是妇女免于压缩性骨折的一种保护机制 这些参数的建立，为诊断x线平片目视不易诊断的轻微骨折 提供了一种方法。另外、男性桂管狭窄发病率高于女性的原因可能由于男性椎体随年龄增加而不断增大 所致 关键调 x线平片 腰推椎体 Measurementofmetrologk Parametersandclinlcal analysisoflurebarvertebraX—raysinnormaladul~ WangJueying．LuXingsu，QiuMingealandLinLei DepartmentofOrthopedics、NanshanPeoplesHospita1．Shenzhen518052China AbstractAnteriorposteriorandlacera1x—rayfilmsof1umbervertebraeweretakenfrom 70norffl~l Chinese．including35malesand35femalesBvageteachgroupwassubdivldedinto5subgroups，7for each．WithMOPV1DEOPLAN imageana[yslssystem，bothAPandLvertebralfilmswereanalyzedby tracingtheirimage．Therewere10parametersavailableafterthemeasurementforthequantitativeanaly sis．Theywerearea．perimetertmaximutl3diametertwidthandheightforthetWOdimensionalmeasure— meritsandvertebralvolumeforthreedimensionalmeasurements．Thedatasuggestthattheidealcolumn vo]umeofeachvertebrahassignificantcorrelatLonwithageinthemalegrouptbuthasnotinthe(emale group(PO．05)．Inconclusion，anattempt madetOexplainthesignificantdifferencebetweensexest ItmaybetruethatthevolumeOf luFIthervertebraedonotincreaseaftermenopause．Incontrast·thever- tehralvolumeofmalesmayexpandcontLnua[1yinwholeLifespanbecausetheirbonelossisrelativlyless， WewouldliketOsuggestthattheconstantvolumeoflumbarvertebraemightbeaprotectivemechanism forwomentoprotectthemselvesfrom compressionfracture．Theseparametersprovideamethodforthe diagnosisofmild fractI1rethatisuneasytobediagnosedinX rayfilms—Besidesttheprev