青年人群腰椎间盘突出症与多发性关节松弛的相关性研究  

Study on the Relationship Between Lumbar Disc Herniation and Multiple Joint Laxity in Young People

作　　者：廖仕川 王一[1] 蔚浩 戴国钢[1] 杜万里 张继芳[1] 陈君蓉[2] 李旭雪 Liao Shichuan;Wang Yi;Wei Hao(The Second Department of Neck,Shoulder,Waist and Leg Pain,Sichuan Orthopaedic Hospital,Chengdu 610041,China)

机构地区：[1]四川省骨科医院颈肩腰腿痛二科,四川成都610041 [2]四川省骨科医院医学影像科,四川成都610041

出　　处：《实用骨科杂志》2021年第8期673-677,共5页Journal of Practical Orthopaedics

基　　金：四川省骨科医院科研项目(20P703)。

摘　　要：目的分析青年人群患腰椎间盘突出症的影响因素以及多发性关节松弛对腰椎间盘突出症患者腰椎稳定性的影响。方法按照纳入与排除标准选取2019年12月至2020年11月于我院就诊的60例患腰椎间盘突出症的患者为观察组,以及60例健康志愿者为对照组。观察组男32例,女28例;平均年龄(33.87±4.31)岁;21例身体质量指数(body mass index,BMI)<24 kg/m^(2),39例BMI≥24 kg/m^(2)。对照组男29例,女31例;平均年龄(34.46±3.16)岁;29例BMI<24 kg/m^(2),31例BMI≥24 kg/m^(2),对两组人群的一般资料及Beighton评分进行统计分析。同时在X线片上测量腰椎间盘突出症患者的角位移、水平位移、骨盆入射角(pelvic incidence,PI)、骨盆倾斜度(pelvic tilt,PT)、骶骨倾斜角(sacral slope,SS)、腰椎前凸角(lumbar lordosis,LL)。按照Beighton评分将腰椎间盘突出症患者分为非多发性关节松弛组及多发性关节松弛组,对其一般数据及影像学参数进行亚组分析。结果观察组性别、年龄、吸烟史与对照组比较,差异无统计学意义(P>0.05)。观察组BMI较高,与对照组比较差异有统计学意义(P<0.05),对照组多发关节松弛发病率为35.00%,远高于对照组的15.00%,差异有统计学意义(P<0.05)。多因素Logistic分析中,高BMI和多发性关节松弛为腰椎间盘突出危险因素。亚组分析中,非多发关节松弛组39例,多发关节松弛组21例,两组患者性别、年龄、吸烟史、BMI、病程差异无统计学意义(P>0.05);多发关节松弛组水平位移、角位移及SS较非多发关节松弛组大(P<0.05),PI、LL、PT两组比较差异无统计学意义(P>0.05)。结论多发关节松弛为青年患者腰椎间盘突出症的重要危险因素,对其腰椎稳定性有负面影响。Objective To analyze the influencing factors of lumbar disc herniation in young people and the influence of multiple joint laxity on lumbar spine stability in patients with lumbar disc herniation.Methods According to the inclusion and exclusion criteria,60 patients with lumbar disc herniation in our hospital from December 2019 to November 2020 were selected as the observation group,and 60 healthy volunteers as the control group.In the observation group,there were 32 males and 28 females;the average age was(33.87±4.31)years;21 cases had body mass index(BMI)<24 kg/m^(2),and 39 cases≥24 kg/m^(2).In the control group,there were 29 males and 31 females;the average age was(34.46±3.16)years;29 cases had BMI<24kg/m^(2) and 31 cases≥24 kg/m^(2).The general information and Beighton scores of the two groups were statistically analyzed.At the same time,measure the angular displacement,horizontal displacement,pelvic incidence(PI),pelvic tilt(PT),sacral slope(SS),and anterior lumbar disc herniation on X-ray films.Lump(lumbar lordosis,LL).According to the Beighton score,patients with lumbar disc herniation were divided into non-multiple joint laxity group and multiple joint laxity group,and their general data and imaging parameters were analyzed in subgroups.Results There were no statistically significant differences in gender,age,smoking history between the observation group and the control group(P>0.05).The observation group had a higher BMI,and the difference was statistically significant compared with the control group(P<0.05).The incidence of multiple joint laxity in the control group was 35.00%,which was much higher than the control group's 15.00%,and the difference was statistically significant(P<0.05).In the multivariate logistic analysis,high BMI and multiple joint laxity were risk factors for lumbar disc herniation.In the subgroup analysis,there were 39 cases in the non-multiple joint relaxation group and 21 cases in the multiple joint relaxation group.There was no significant difference in gender,age,smoking hi

关 键 词：腰椎间盘突出症 多发性关节松弛 相关性研究 

分 类 号：R681.53[医药卫生—骨科学]