腰椎矢状曲度及腰椎活动度与退行性腰椎不稳的相关性研究  

The Correlation of Lumbar Sagittal Curvature and Lumbar Activity and Degenerated Lumbar Instability

作　　者：郭振鹏[1] 温国宏[2] 尚晖[1] 吴亚鹏[1] 李兵奎[1] 郭晓鹏[1] 

机构地区：[1]湖北省十堰市太和医院湖北医药学院附属医院骨三科,湖北十堰442000 [2]湖北省十堰市太和医院湖北医药学院附属医院医务处,湖北十堰442000

出　　处：《中国现代手术学杂志》2016年第1期44-47,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨腰椎矢状曲度及腰椎活动度与退行性腰椎不稳的相关性。方法选取2013年7月～2014年12月我院收治的52例慢性下腰痛患者作为腰痛组,37例腰椎不稳患者作为不稳组,40例正常人（无下腰痛病史）作为正常组。摄X线片分别测量和比较三组研究对象腰椎矢状曲度及腰椎活动度。结果不稳组腰椎矢状曲度显著高于正常组与腰痛组（P〈0.05）;而正常组与腰痛组腰椎矢状曲度比较差异无统计学意义（P〉0.05）;正常组腰椎活动度显著高于腰痛组与不稳组（P〈0.05）,腰痛组与不稳组腰椎活动度比较差异无统计学意义（P〉0.05）。结论腰椎矢状曲度及腰椎活动度在腰椎不稳退变过程中会发生相应的改变,二者对综合评估腰椎稳定性具有重要意义,可为临床诊治提供参考依据。Objective To investigate the correlation of lumbar sagittal curvature,lumbar activity and degenerative lumbar instability. Method From July 2013 to December 2014,52 patients with chronic low back pain in our hospital（ as the lumbago group）,37 cases of lumbar instability（ as instable group）,and 40 normal cases without low back pain history（ as normal group） were measured their lumbar sagittal curvature and lumbar activity by X-ray picture. Results The lumbar sagittal curvature of instable group was significantly higher than that of both the normal group and the lumbago group（ P〈0. 05）,and there was no statistical difference between the normal group and the lumbago group（ P〉0. 05）. The lumbar activity of normal group was remarkable higher than that of both lumbago group and instable group（ P〈0. 05）,but there was no statistical difference between the lumbago and instable group（ P〉0. 05）. Conclusion The lumbar sagittal curvature and activity will develope commensurate changes,and both can play an important role in integrated evaluation of lumbar vertebrae stability and offer the reference of clinical diagnosis and treatment.

关 键 词：腰椎 矢状曲度 活动度 腰椎不稳 退行性 

分 类 号：R681.5[医药卫生—骨科学]