腰椎小关节三维角度与退行性腰椎滑脱症的相关性研究  

The correlation between lumbar facet triaxially angle in patients with degenerative lumbar spondylolisthesis

作　　者：闫广辉[1] 高春光[1] 李华[1] 张庆胜[1] 索娜[1] 靳宪辉[1] 崔胜杰[1] 

机构地区：[1]河北医科大学附属哈励逊国际和平医院骨科,河北衡水053000

出　　处：《实用放射学杂志》2015年第5期810-812,共3页Journal of Practical Radiology

基　　金：2013年度河北省省级科技计划自筹经费项目

摘　　要：目的：研究腰椎小关节横断面、矢状面及冠状面空间方向的变化在退变性腰椎滑脱症（DLS）发生中的病因学意义。方法85例 L4椎体滑脱者为滑脱组（DLS 组）,110例无滑脱者为对照组。均采用 X 线及 CT 检查,在3个平面上测量2组 L4~L5小关节角度。结果在横断面、冠状面上,LDS 组腰椎小关节角角度均明显小于对照组（P〈0.05）,且两侧小关节角改变的差值均较对照组大（P〈0.05）；在矢状面上,LDS 组小关节角角度大于对照组（P〈0.05）。结论在横断面 DLS 组腰椎小关节角更偏矢状位；矢状面 DLS 组小关节更偏水平位；冠状面 DLS 组腰椎小关节更偏竖直位。关节突关节空间方向的改变对 DLS 的发生具有病因学意义。Objective To study the etiological effect between the spatial variation of lumbar facet orientation and the degenerative lumbar spondylolisthesis（DLS）in axial,sagittal and coronal plane.Methods 85 patients with DLS at L4 and 110 controlsreceived X-ray and CT scanning.The facet angle at L4-L5 was measured in axial,sagittal and coronal plane.Results Compared with the control group, the DLS-angles were lesser and the difference between the left and right was greater in axial,coronal plane（P〈0.05）.But were greater in sagittal plane（P〈0.05）.Conclusion The DLS-angles are more sagittal in axial plane,more level in sagittal plane and more erect in coronal plane.The change of spatial orientation in the facet joint is one of etiological factors of degenerative lumbar spondylolisthesis.

关 键 词：退行性腰椎滑脱 腰椎小关节角 三维 

分 类 号：R681.5[医药卫生—骨科学] R322.71[医药卫生—外科学]