腰椎骶化对腰椎间盘突出症自然病程的影响  

Effects of lumbar sacralization on the natural course of lumbar disc herniation

作　　者：徐巨梁 XU Juliang(Qixian Community Health Service Center of Fengxian District, Shanghai 201403, China)

机构地区：[1]上海市奉贤区金汇镇齐贤社区卫生服务中心,上海201403

出　　处：《上海医药》2017年第3期47-50,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :探索腰椎骶化(LS)对腰椎间盘突出症(LDH)自然病程的影响。方法 :按纳入标准选取2014年在我院就诊的LDH的患者382例,根据X光片分为LS组和非LS组。在接受相同非手术治疗后随访1年,分别在6个月和1年时评价并比较两组患者的腰椎稳定性、椎间盘退变程度、下腰痛及下肢放射痛等临床症状的差异。结果 :完成随访患者共262例,其中LS组患者72例,非LSTV组患者190例,年龄、性别、LDH发生节段、腰椎不稳无统计学差异。与非LS组患者相比,LS组患者能够促进腰椎不稳,且腰椎间盘退变的时间更早、程度更重,下腰痛及下肢放射痛等临床症状也更早出现,程度更重。结论 :LS能够在LDH自然病程中起促进作用。Objective： To find out the effects of lumbar sacralization （LS） on the natural course of lumbar disc herniation （LDH）. Methods： Three hundred and eighty-two patients treated in our hospital in 2014 were selected based on inclusive criteria and divided into LS group and non-LS group based on X-ray imagining. All patients accepted same non-surgical treatments and were followed up for 1 year. Stability, degeneration of inter-body disc, low back pain and lower limb pain were compared between two groups at six months and one year follow-up. Results： Total patients completed follow-up were 262 cases, in which 72 patients were in LS group while 190 were in non-LS group. There were no statistical differences between the two groups in age, gender, segment of LDH and stability. Compared with patients without LS, lumbar instability, advanced degeneration of lumbar inter-body disc, low back pain and lower limb pain could be promoted in LS patients. Conclusion： LS is able to promote the natural course of LDH.

关 键 词：腰椎区 脊柱发育异常 椎间盘退变 

分 类 号：R681.53[医药卫生—骨科学]