腰椎曲度变直时椎间盘病变的特点
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Pathological Features of Intervertebral Disc Disorder when Lumbar Curvature Straightening
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    摘要:

    目的 通过分析腰椎曲度变直患者腰椎间盘病变的发生情况,揭示T11~S1各椎间盘的不同类型病变对腰椎曲度的影响。方法 回顾分析腰椎曲度变直组(69例)和对照组(同一年龄组,腰椎曲度正常,共41例)T11-S1各椎间盘病变情况,分别观察椎间盘蜕变、突出、椎间隙狭窄的发生情况,在两组间对部分节段不同病变的发生率进行比较。结果 两组中T11-L2段椎间盘病变的发生率很低,在两组间无法进行统计学处理。L2-S1段椎间盘病变的发生率增高,腰椎曲度变直组除L2-3椎间盘突出和椎间隙狭窄与腰椎曲度正常组比较差异无显著性意义外(P>0.05),其余节段椎间盘蜕变,突出和椎间隙变窄在两组间差异均有显著性意义(P<0.05或P<0.001)。结论 腰椎曲度变直组病人下腰段(L2-S1)椎间盘病变发生率明显增高,说明腰椎间盘病变作为局部因素可能是腰椎曲度变直的诱因。

    Abstract:

    Objective To reveal the influence of different type lumbar disc disorders(T11-S1)to lumbar curvatureby analyzing of the cases suffering lumbar curvature straightening. Method Retrospective analysis of lumbar disc disorder including degeneration, protrusion and intervertebral space narrowing in T11-S1 were made in curvature straighten group(69 cases)and control group(the same age with normal lumbar curvature,41 cases),respectively. The statistical analysis was given to the different incidence of some parts of disc disorder between two group. Result The incidences of disc disorder in T11-L2 including degeneration, protrusion and intervertebral space narrowing are very low both in curvature straighten group and control group, however, the incidence occurred in L2-S1 increase obviously, especially in curvature straighten group. In segment of L2-S1, the incidence of disc degeneration, protrusion and intervertebral space narrowing in lumbar curvature straighten group is higher than that of control group (P<0.05或P<0.001) except the disc degeneration and protrusion of L2-3 (P>0.05). Conclusion The incidence of lumbar disc affection in L2-S1 increase obviously among the patients suffering with lumbar curvature straighten and, shows that the disc disorder as the local factor may be the motivation led to lumbar curvature straighten.

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于明安,张建秋.腰椎曲度变直时椎间盘病变的特点[J].医用生物力学,2008,23(1):75-78

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