腰椎关节突关节结构异常与腰椎间盘突出  

Association of lumbar facet tropism and orientation with lumbar disc herniation

作　　者：周强[1] 滕东辉[1] 姜文学[1] 

机构地区：[1]天津市第一中心医院骨科,天津市300192

出　　处：《中国组织工程研究》2017年第31期5067-5072,共6页Chinese Journal of Tissue Engineering Research

摘　　要：背景:腰椎关节突关节结构异常(方向及不对称)对腰椎间盘突出的影响作用是目前的研究热点。目的:综述腰椎关节突关节方向及不对称对腰椎间盘突出影响作用的相关研究,并阐明该研究领域仍然存在的问题。方法:以"腰椎关节突关节,腰椎间盘突出,关节突关节方向与不对称;lumbar facet joints,lumbar disc herniation,facet orientation and tropism"为检索词,应用计算机分别检索1967年1月至2017年1月发表与腰椎关节突关节异常对腰椎间盘突出影响作用的相关文章。根据入选标准及排除标准摘选42篇进行综述。结果与结论:(1)腰椎关节突关节的方向与不对称是否与腰椎间盘突出有关目前尚无定论,腰椎间盘突出方向是否朝向不对称关节突中的特定一侧也没有定论;(2)造成该领域研究无法得出确定结论的主要原因在于:"正常对照组"设计欠合理,缺乏正常人群腰椎关节突关节角参数;研究对象的年龄跨度太大,导致退变引起的角度改变掺杂进数据统计;腰椎关节突关节不对称的衡量标准仍不统一。BACKGROUND： Association of lumbar facet tropism and orientation with lumbar disc herniation is an issue ofconcern.OBJECTIVE： To overview the association of lumbar facet tropism and orientation with lumbar disc herniation andto clarify the existing problems.METHODS： The articles related to the association of lumbar facet tropism and orientation with lumbar discherniation published between January 1967 and January 2017 were retrieved from CNKI and PubMed databasesby computer. The keywords were “lumbar facet joints, lumbar disc herniation, facet orientation and tropism” inChinese and English, respectively. Totally 42 articles were enrolled based on the inclusion and exclusion criteria.RESULTS AND CONCLUSION： （1） The association of lumbar facet tropism and orientation with lumbar disc herniation remains unclear. The relationship between the orientation of lumbar disc herniation and lumbar facet tropismis also controversial. （2） The main problems to drive controversy are： inappropriate control group and lacking normallumbar facet tropism and orientation data; the large age range of subjects;the uncertain standard of measuring lumbarfacet tropism.

关 键 词：骨科植入物 脊柱植入物 腰椎关节突关节 腰椎间盘突出 腰椎关节突关节不对称 

分 类 号：R318[医药卫生—生物医学工程]