健康成人腰椎椎间隙高度的解剖学分型及临床意义  

Anatomical classification and clinical significance of lumbar intervertebral space height in healthy adults

作　　者：陈辰 张凯[1] 张锋[1] 赵杰[1] CHEN Chen;ZHANG Kai;ZHANG Feng;ZHAO Jie(Shanghai Key Laboratory of Orthopedic Implants, Shanghai 200011, China)

机构地区：[1]上海交通大学医学院附属第九人民医院骨科上海市骨科内植物重点实验室

出　　处：《山东大学学报（医学版）》2019年第5期43-47,55,共6页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金(81572168)

摘　　要：目的观察健康成年人腰椎椎间隙高度变化及对于不同高度的解剖学分型。方徐选取行脊柱全长片及腰椎磁共振志愿者169例,测量L1/2、L2/3、L3/4、L5/S1椎间隙高度(H1-H5)及L1-L5椎体高度,分析男女志愿者各椎间隙绝对高度及相对高度(该椎间隙高度/上位椎体高度,H1/L1~H5/L5),以及各类型椎间隙高度人群数量分布。结果椎间隙高度及相对椎间隙高度均随结构位置的降低逐渐增加,在L4/5达到最大值,相邻椎间隙高度差异有统计学意义(P<0.05)。而同一组椎间隙高度中,男女间差异无统计学意义(P>0.05),L4/5椎间隙测量中有11.83%志愿者(20/169例)有高椎间隙的表现。在H1/L1组中有66.67%男性志愿者属于相对低间隙组(56/84例),在H2/L2~H5/L5组中有75.15%(127/169例),73.96%(125/169例),71.01%(120/169例)、65.68%(111/169例)相对椎间隙高度比在0.4-0.5之间,而在H3/L3、H4/L4、H5/L5组中有8.28%(17/169例),23.67%(40/169例),8.28%(17/169例)属于相对高间隙组。结论L4/5椎间隙高度在健康成人腰椎椎间隙高度中最高,健康成人腰椎椎间隙高度差异大,对椎间隙高度的解剖学分型具有一定临床意义。Objective To observe the changes of lumbar intervertebral space heights in healthy adults and the anatomical classification of different heights. Methods A total of 169 volunteers who received full-length spine and lumbar magnetic resonance in our hospital were involved. The L1/2, L2/3, L3/4, L4/5, L5/S1 intervertebral space heights (H1-H5) and L1-L5 vertebral height were measured to analyze the absolute height and relative height of each intervertebral space in male and female volunteers (the height of the intervertebral space/upper vertebral height, H1/L1-H5/L5) and the distribution of various types of intervertebral space. Results Both of the height and relative height of intervertebral space increased gradually with the decrease of the structural position at L4/5, and the difference between the heights of adjacent intervertebral space was statistically significant (P<0.05). There was no significant difference between male and female in the same intervertebral space (P>0.05). In the L4/5 intervertebral space measurement, 11.83% volunteers (20/169) had high intervertebral space. In the H1/L1 intervertebral space measurement, 66.67% male volunteers had relatively low space (56/84). In the H2/L2-H5/L5 intervertebral space measurement, 75.15%( 127/169), 73.96%(125/169), 71.01%( 120/169), 65. 68%( 111/169 ) volunteers had relative intervertebral space height ratio of 0.4-0.5. In the H3/L3, H4/L4, and H5/L5 intervertebral space measurement, 8.28%( 17/169), 23.67%(40/169), 8.28%(17/169) volunteers had relatively high space. Conclusion The L4/5 intervertebral space height is the highest in the lumbar intervertebral space of healthy adults. There is significant difference in the height of lumbar intervertebral space among healthy adults. The anatomical classification of intervertebral space height has clinical significance.

关 键 词：健康成人 椎间隙高度 高椎间隙 解剖学分型 

分 类 号：R681.5[医药卫生—骨科学]