腰椎关节突不对称与椎间盘突出的关系  

Correlation Study of Lumbar Facet Joint Asymmetry and Intervertebral Disc Herniation with CT

作　　者：孙钢[1,2] 董冰[1,2] 

机构地区：[1]济南军区总医院放射科 [2]济南市第四人民医院

出　　处：《中国医学计算机成像杂志》1998年第3期190-191,共2页Chinese Computed Medical Imaging

摘　　要：目的：探讨腰椎关节突关节的不对称性对腰椎间盘突出症的病因学意义。材料和方法：通过７６例正常人与１５８例腰椎间盘突出症患者的ＣＴ资料研究，测量关节突关节角度。结果：７６例正常人中有１９例存在关节突关节不对称，占２５％，而１５８例腰椎间盘突出症患者中则有９６例，占６０．７％；旁侧型椎间盘突出方向多偏向于关节突关节面近冠状位侧，二者具有显著性差异。Purpose:To study the etiologic significance of lumbar facet joint asymmetry in intervertebral disc herniation.Materials and methods:In a study of CT imaging of 76 normal subjects and 158 patients with intervertebral disc herniation measured the angles of lumbar facet joint.Results:There were 19(25%)cases with facet asymmtry in normal controles,while 96(60.7%)of 158 patients were noted to have asymmetry in disc herniation ones. The difference was highly signficant(P<0.001).There was a propensity of coronally facing facet joints associated with the ipsilateral disc herniation.Conclusion:There was a evidence correlation between the lumbar facet joint asymmetry and lumbar intervertebral disc herniation.

关 键 词：腰椎 椎间盘突出症 关节突不对称 CT 

分 类 号：R681.530.2[医药卫生—骨科学]