| 张建新,梁卓文,乔 林,宋基伟,黄培培,杨智伟,胡学昱,王 哲.不同性别腰椎间盘突出症患者脊柱-骨盆矢状位参数差异研究[J].,2017,17(15):2857-2861 |
| 不同性别腰椎间盘突出症患者脊柱-骨盆矢状位参数差异研究 |
| Study on the Difference of the Parameters of the Sagittal Position of the Spine and Pelvis in Patients with Lumbar Disc Herniation |
| 投稿时间：2016-12-12 修订日期：2016-12-28 |
| DOI：10.13241/j.cnki.pmb.2017.15.014 |
| 中文关键词: 腰椎间盘突出 脊柱-骨盆矢状序列 放射学 |
| 英文关键词: Lumbar disc herniation Spine - pelvic sagittal sequence Radiologia |
| 基金项目:国家自然科学基金项目(81070996；81572151） |
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| 中文摘要: |
| 摘要 目的：探讨不同性别腰椎间盘突出症（Lumbar disc herniation, LDH）患者脊柱-骨盆矢状位参数差异特点。方法：回顾性分析2014年1月至2016年3月在第四军医大学西京医院脊柱外科因LDH住院手术治疗，且具有术前脊柱站立位全长X线片的患者共222例，其中男l25例，女97例，年龄20-80岁，平均年龄50.97岁；应用图形分析软件Surgimap进行参数测量，在站立位全长脊柱侧位x线片上测量参数包括：骨盆投射角(Pelvic incidence，PI)、骨盆倾斜角(Pelvic tilt，PT)和骶骨倾斜角(Sacral slope，SS)，胸椎后凸角(ThoracicKyphosis，TK)、腰椎前凸角(Lumbarlordosis，LL)、矢状面垂直轴(Sagittal vertical axis， SVA)。根据性别分组，比较不同性别之间各参数、发病累及节段、不同年龄段发病率之间的差异。应用SPSS 19.0对数据进行统计分析。结果：LDH患者男女性别之间比较发现，男性PI 43.82±8.66°，女性PI 47.75±8.50°，P=0.001（P<0.05），具有统计学显著性差异，年龄、PT、SS、LL、TK、SVA无显著性差异；不同性别LDH患者所累及节段分别进行统计，P=0.480（P>0.05），无统计学显著性差异；不同性别LDH患者不同年龄段的发病率进行统计，应用Pearson卡方检验进行统计分析，P=0.024（P<0.05），具有统计学显著性差异。然后将各年龄段发病率通过u检验进行比较,20-40岁段P=0.023（P<0.05），具有统计学显著性差异。结论：PI也可能与LDH的发病有关，男性患者PI小于女性患者，可能是在LDH发病中男性多于女性，且男性更早发病的一个重要原因。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the characteristics of different disc herniation (LDH) in patients with lumbar disc herniation. Methods: A retrospective analysis from January 2014 to March 2016 in Xijing Hospital of The Fourth Military Medical University of spinal surgery hospitalized with LDH surgical treatment, with preoperative spinal X-ray standing length of patients with a total of 222 cases of male L25 patients, 97 were female, aged 20 - 80 years old, the average age of 50.97 years; application of graphic analysis soft- ware Surgimap parameter measurement the parameters included in the standing length of spine lateral radiographs: pelvic incidence (PI), pelvic tilt ( PT) and sacral slope (SS), thoracic kyphosis(TK), lumbar lordosis（LL), sagittal vertical axis (SVA). According to gender groups, the differences between the different parameters, the incidence of involvement of the segment and the incidence of different age groups were compared.Statistical analysis of data using SPSS 19. Results: Comparison between LDH patients with gender, PI of male 43.82±8.66°, female 47.75±8.50°, P=0.001 (P<0.05), there were statistically significant differences in sex, but in age, PT, SS, LL, TK and SVA had no significant difference; gender differences in LDH involved segments into the statistics. P=0.480 (P>0.05), there was no statistically significant difference; statistical incidence between male and female patients with LDH of different age rate, application of Pearson chi square test was used for statistical analysis, P=0.024 (P<0.05), a statistically significant difference. Then the incidence rate of each age group was compared by U Test,20 to 40 years old P=0.023(P<0.05), with a statistically significant difference. Conclusion: PI may also be related to the incidence of LDH, male patients with PI less than female patients, may be in the incidence of LDH in men than women, and an important reason for the early onset of men. |
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