腰椎滑脱的X线诊断价值  

Value of X Ray Diagnosis for Lumbar Spondylolisthesis

作　　者：王立侠[1] 李龙鹏[1] 李涛[1] 陈宜新[1] 

机构地区：[1]安徽省阜阳市第二人民医院放射科,阜阳236015

出　　处：《中国医药导刊》2015年第9期918-919,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：进一步提高对腰椎滑脱X诊断的认识。方法：回归性分析102例腰椎滑脱的图片资料。结果：本组资料,病变多累计L3~5椎体,51例累及L4椎体,前滑脱42例（86%）,30例为多发,后滑脱26例（87%）,椎体互相前后滑脱4例（13%）;崩裂性滑脱12例（12%）,退变性滑脱90例（88%）;Ⅰ度93例（91%）,Ⅱ度6例（6%）,Ⅲ度3例（3%）。所用患者均有不同程度的退行性变。结论：常规X线检查不仅可以对腰椎滑脱能够明确诊断,还可以准确显示椎体、椎间盘改变及椎小关节的间接征象。必要时加做站立过伸过屈位片,更能真实的反映腰椎滑脱的程度与稳定性。Objective： To furthering improve the understanding of X ray in the diagnosis of lumbar spondylolisthesis. Methods：102 cases of lumbar spondylolisthesis images were regressively analyzed.Results：The data showed, the cumulative L3-5 vertebral body lesions, 51 cases involved vertebral body of L,, spondylolisthesis was 42 cases （86%）, 30 cases were multiple, retrolisthesis was 26 cases （87%）,vertebral spondylolisthesis with spondylolisthesis and retrolisthesis was 4 eases （13%）, spondylolytic spondylolisthesis was 12cases （12%）, degenerative spondylolisthesis was 90 cases（88%）, I grade was 93 cases （91%）, II grade was 6 cases（6%）,llI grade was 3 cases （3%）. The degrees of degenerative change were varying. Conclusion： routine X-ray examination can make a definite diagnosis for Imnbar spondylolisthesis; indirect signs can also display vertebral body and intervertebral disc, lheet joint change. When necessary, doing hyperextension curved stand pieces can reflect the degree and the stability of lumbar spondylolisthesis.

关 键 词：腰椎滑脱 站立位 数字化X线摄影诊断 

分 类 号：R681.5[医药卫生—骨科学] R816.8[医药卫生—外科学]