腰椎间盘突出症腰骶角测量及初步分析

Measurement and primary analysis of the lumbosacral angle in intervertebral disc herniation

  • 摘要: 目的: 测量腰椎间盘突出症患者腰骶角,分析其变化原因及在该症临床初步筛选中的意义。方法: 观察102例腰椎间盘突出症X线平片并测量其腰骶角(Grogkopf法),与正常人进行对照分析。结果: L5S1突出者除具备文献所述X线征象外,其腰骶角明显大于L4~5突出者和正常人(P<0.01),而后两者间无显著性差异(P>0.05)。探讨其可能原因为:(1)椎间盘内压失衡的表现;(2)缓解神经根压迫的代偿性改变;(3)脊柱屈伸力量失衡的结果。结论: 测量腰骶角对L5S1椎间盘突出有一定的辅助诊断意义

     

    Abstract: Objective: Measure the lumbosacral angle in intervertebral disc herniation and analyse its significance in the diagnosis of this disease. Methods: The radiograms of 102 cases with intervertebral disc herniation were observed and their lumbosacral angles were measured using Grogkopff's technique to compare with normal controls Results: Apart from the direct X-ray characteristics described in former literatures, the lumbosacral angle of L 5S 1 intervertebral disc herniation was significantly greater than that of L 4~5 intervertebral disc herniation and normal people (P <0.01). However, there was no significant difference between the latter two groups (P >0.05). The possible reasons were: (1)The appearance of intervertebral pressure imbalance; (2)The compensatory effect for relaxing nerve root compression; (3)The result of imbalance of flexion and extension strength of the spine. Conclusion: Measurement of the lumbosacral angle may help in the diagnosis of L 5S 1 intervertebral disc herniation.

     

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