腰椎关节突关节不对称与青年患者发生峡部裂性腰椎滑脱的相关性研究  

Study on the correlation between lumbar facet joint asymmetry and spondylolisthesis of spondylolysis in young patients

作　　者：陶建宏[1] 莫松全[1] 安明和[1] 唐发兵[1] Tao Jianhong;Mo songquan;An Minghe;Tang Fabing(department of orthopedics,santai county people’s hospital,santai Sichuan 621100)

机构地区：[1]三台县人民医院骨科

出　　处：《当代医药论丛》2019年第12期33-35,共3页

摘　　要：目的:探讨腰椎关节突关节不对称与青年患者发生峡部裂性腰椎滑脱的相关性。方法:选取2008年4月三台县人民医院收治的56例青年峡部裂性腰椎滑脱患者及同期在该院进行体检的56例健康青年人作为研究对象。将56例青年峡部裂性腰椎滑脱患者设为研究组,将56例健康青年人设为对照组。在这些研究对象入院后,均对其进行腰椎CT检查,测量其L3-4、L4-5、L5-S1节段两侧关节突关节的角度。比较两组研究对象腰椎关节突关节不的对称率。结果:研究组患者L3-4两侧关节突关节角度的差值、L4-5两侧关节突关节角度的差值、L5-S1两侧关节突关节角度的差值均大于对照组研究对象,P<0.05;其L4-5左侧关节突关节的角度、L5-S1左侧关节突关节的角度均小于对照组研究对象,P<0.05;其L3-4、L4-5、L5-S1节段两侧关节突关节的对称率均低于对照组研究对象,P<0.05;其L3-4、L4-5、L5-S1节段两侧关节突关节不对称、重度不的对称率均高于对照组研究对象,P<0.05。结论:腰椎关节突关节不对称在青年峡部裂性腰椎滑脱患者中的发病率较高。该病是导致青年患者发生峡部裂性腰椎滑脱的重要原因。objective: to investigate the correlation between lumbar facet joint asymmetry and spondylolisthesis of spondylolysis in young patients. Methods: 56 young patients with isthmic spondylolisthesis admitted to santai county people’s hospital in April 2008 and 56 healthy young people who underwent physical examination in the hospital during the same period were selected as research objects. Fifty-six young patients with isthmic spondylolisthesis were selected as study group and 56 healthy young people as control group. After admission, lumbar CT examination was performed on these subjects, and the angles of bilateral facet joints at segments l3-4, l4-5 and l5-s1 were measured. The dissymmetry rate of lumbar facet joints was compared between the two groups. Results: the difference of facet joint angles on both sides of l3-4, l4-5 and l5-s1 in the study group was greater than that in the control group(P < 0.05). The Angle of l4-5 left facet joint and l5-s1 left facet joint were smaller than those of the control group(P < 0.05). The symmetry rate of bilateral facet joints in l3-4, l4-5 and l5-s1 segments was lower than that in the control group(P <0.05). The symmetry rate of bilateral facet joint asymmetry and severe asymmetry in l3-4, l4-5 and l5-s1 segments was higher than that in the control group(P < 0.05).Conclusion: the incidence of lumbar spondylolisthesis with isthmic spondylolisthesis is higher in young patients with lumbar spondylolisthesis. The disease is an important cause of spondylolisthesis in young patients.

关 键 词：腰椎关节突关节不对称 峡部裂性腰椎滑脱 青年患者 

分 类 号：R681[医药卫生—骨科学]