骶髂关节紊乱在X线片上的表现形式和临床意义  

X-ray characteristics of sacroiliac joint disorders and its clinical significance

作　　者：师宁宁[1] 沈国权[2] 何水勇[3] 郭汝宝[2] 

机构地区：[1]甘肃省中医院针灸推拿科,甘肃兰州730050 [2]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437 [3]江西省中医院针灸推拿科,江西南昌330019

出　　处：《中国骨伤》2013年第2期102-106,共5页China Journal of Orthopaedics and Traumatology

基　　金：国家自然科学基金(编号:83371158)~~

摘　　要：目的:研究骶髂关节紊乱在X线片上的表现形式和临床意义,为推拿手法治疗骶髂关节紊乱提供临床诊断依据。方法:自2009年7月至2011年3月,选取104例骶髂关节紊乱的患者,其中男64例,女40例;年龄18～81岁,平均(45.39±1.30)岁;病程1～144个月,平均(12.64±2.19)个月。拍摄患者的骨盆平片104张,腰椎侧位片97张。在腰椎侧位片测量骶骨的水平角(腰骶角),骨盆平片上测量两侧髂嵴的垂直距离(髂嵴差),髋骨内侧缘与外侧缘之间的距离(髋骨宽),骶嵴连线与垂直轴线的夹角(骶嵴左右偏移度)。结果:两侧髂嵴差的均值为(10.34±0.73)mm,髋骨宽度差的均值为(6.73±1.01)mm;髂嵴差的均值较大(P<0.01),髋骨不等宽出现的频率较高(P<0.01)。腰骶角异常的均值是(7.29±1.86)°,骶嵴左右偏移度的均值是(3.18±0.47)°;腰骶角异常的均值较大(P<0.01),骶嵴左右偏移的频率较高(P<0.01)。结论:骶髂关节紊乱可分为髂骨紊乱和骶骨紊乱,髂骨是旋转移位,可分为前后旋转和内外旋转移位,内外旋转频率高,前后旋转幅度大;骶骨是倾斜紊乱,可分为前后倾斜和左右倾斜移位,左右倾斜频率高,前后倾斜角度大。Objective ： To study the X-ray characteristics of sacroiliac joint disorders and its clinical significance, so as to provide clinical diagnosis basis for Tuina treatment of sacroiliac joint disorder. Methods：From July 2009 to March 2011,104 patients with sacroiliac joint disorder were reviewed,including 64 males and 40 females,ranging in age from 18 to 81 years, with an average of （45.39 ± 1.30） years. The duration of the disease ranged from 1 to 144 months,with an average of （12.64 ± 2.19 ） months. One hundred and four pelvic plain films and 97 lumbar spine lateral films of the patients with sacroiliac joint disorder were taken. On the lateral X-ray of lumbar, the sacral horizontal angles （lumbosacral angle） were measured; and on the X-ray of pelvis, the vertical distance of two side iliae crest （iliac crest difference ）, the distance from lateral border to medial margin of two hips （hip width）, the clip angle between sacral spin connection and vertical axis were measured, and then the data were analyzed. Results ：The mean difference of iliac crest was （10.34±0.73） ram; the mean width difference of hip was （6.73±1.01） mm; and the mean difference of the iliac crest was larger than that of mean difference of hip （P〈0.01）. The oc- currence rate of iuequal width of hip was higher（P〈0.01 ）. The mean abnolrmal lumbosaeral angle was （7.29 ± 1.86）°,and the mean angle of sacral crest tilting to left or fight was （3.18± 0.47 ） ° ;the mean abnormal lumbosacral angle was larger than that of angle of sacral crest tilting to left or right （P〈0.01） ,and the occurrence rate of sacral crest tilting to left or fight was higher （P〈0.01 ）. Conclusion： Sacroiliac joint disorders may be divided into iliae disorders and sacral disorders. The distance of iliae bone is rotating displacement, including anteroposterior rotation displacement, internal and external rotation displacement. The occurrence rate of internal and external rotation is higher than that of an

关 键 词：骶髂关节 生物力学 放射摄影术 

分 类 号：R684[医药卫生—骨科学]