山西局部地区退变性腰椎管狭窄症的流行病学调查与分析  

Epidemiological investigation and analysis of degenerative lumbar spinal stenosis in Shanxi province local area

作　　者：刘思稳 贾中伟[1] 余建平[1] 安雪军[1] 王小健[1] 李经纬[3] 梁智勇 王晓晨 Liu Siwen;Jia Zhongwei;Yu Jianping;An Xuejun;Wang Xiaojian;Li Jingwei;Liang Zhiyong;Wang Xiaochen(Department of Orthopedics,Shanxi Provincial People′s Hospital,Taiyuan 030012,China)

机构地区：[1]山西省人民医院骨科,太原030012 [2]山西医科大学第五临床医学院,太原030012 [3]山西省人民医院科教处,太原030012 [4]山西省人民医院病案统计科,太原030012

出　　处：《骨科临床与研究杂志》2024年第4期233-239,共7页Journal Of Clinical Orthopedics And Research

基　　金：山西省软科学研究计划项目(2018041035-4)。

摘　　要：目的分析山西省局部地区2017年至2018年退变性腰椎管狭窄症的流行病学特征。方法收集山西省9家医院2017年1月至2018年12月门诊及住院治疗的退变性腰椎管狭窄症患者基本资料和数字化影像资料,分为太原、晋中地区(A组)、晋南地区(B组)和晋北、吕梁地区(C组),按病例资料采集医院的地区、患者年龄、性别、腰椎管狭窄解剖学分型、病变节段及不同年份的地区、年龄、性别、解剖学分型、病变节段等进行分组,分析山西省局部地区退变性腰椎管狭窄症的流行病学特征。结果研究共纳入8872例退变性腰椎管狭窄症患者,其中男性4866例(54.8%),女性4006例(45.2%);患者年龄41~98岁,平均68.4岁,高发年龄段在60~69岁及70~79岁;2017年共纳入4256例(48.0%),2018年共纳入4616例(52.0%)。按病例资料采集医院的地区分组比较病例数:在60~69岁年龄段,A组>B组>C组;在70~79岁年龄段,C组最多,B组>A组;3组患者男女比例分布中男性多于女性,差异有统计学意义(A组男性1601例、女性1403例;B组男性1678例、女性1488例;C组男性1587例、女性1115例,P<0.05);在退变性腰椎管狭窄症解剖学分型中,中央管狭窄型及神经根管狭窄型最为常见,地区分布差异有统计学意义(A组中央管狭窄1380例、神经根管狭窄1366例;B组中央管狭窄1416例、神经根管狭窄1424例;C组中央管狭窄1284例、神经根管狭窄1158例,P<0.05);3组患者腰椎受累节段腰4/5、腰5/骶1、腰3/4节段最为多见,差异有统计学意义(受累节段L4/5 A组1509例、B组1385例、C组1160例,P<0.05)。按病例资料采集年份分组比较:在2017年至2018两年间,退变性腰椎管狭窄症的发病地区、性别、年龄、病变节段及解剖学分型的差异无统计学意义(P>0.05)。结论山西省局部地区退变性腰椎管狭窄症患者高发年龄段为60~69岁,年龄分布具有地区差异,男性多于女性,中央管狭窄型及神经根管狭窄型最为常Objective To analyze the epidemiological characteristics of degenerative lumbar spinal stenosis in localized areas of Shanxi province from 2017 to 2018.Methods Basic data and digital imaging data of patients with degenerative lumbar spinal stenosis in outpatient and inpatient care from January 2017 to December 2018 were collected from nine hospitals in Shanxi Province,which were divided into Taiyuan and Jinzhong regions(Group A),Jinnan region(Group B),and Jinbei and Lvliang regions(Group C).The epidemiological characteristics of degenerative lumbar spinal stenosis in Shanxi province were analyzed by grouping the cases according to the region of the hospital where the case data were collected,the age and sex of the patients,the anatomical subtypes of lumbar spinal stenosis,and the segments of the lesions,as well as by the regions,ages,sexes,anatomical subtypes,and segments of the lesions in different years.Results A total of 8,872 patients with degenerative lumbar spinal stenosis were included in the study,including 4,866(54.8%)males and 4,006(45.2%)females;patients'ages ranged from 41 to 98 years,with a mean of 68.4 years,and the high prevalence was in the age groups of 60-69 years and 70-79 years,with a total of 4,256(48.0%)included in 2017,and a total of 4,616 included in 2018(52.0%).Grouped according to the region of the hospital where the case data were collected:in the age group of 60-69 years,Group A>Group B>Group C;in the age group of 70-79 years,Group C was the most numerous,and Group B>Group A.The male-to-female ratio distribution of the patients in the three groups was more male than female,and the difference was statistically significant(P<0.05),In the anatomical typing of degenerative lumbar spinal stenosis,the central canal stenosis type and the nerve root canal stenosis type were the most common,and the difference in regional distribution was statistically significant(P<0.05),The lumbar spine of the affected segments of the lumbar spine of the patients in the three groups,lumbar 4/5,lumbar 5/sacral

关 键 词：流行病学 多中心研究 退变性腰椎管狭窄症 

分 类 号：R681.5[医药卫生—骨科学]