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[1]曹 毅,万业达,李宝玖,等. 站立位与卧位X线摄影对腰椎曲度测量影响的研究[J].天津医科大学学报,2015,21(02):158-160.
　CAO Yi,WAN Ye-da,LI Bao-jiu,et al. Study on degrees of lumbar curvature by X-ray photography in lateral decubitus and standing position[J].Journal of Tianjin Medical University,2015,21(02):158-160.
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
21卷
期数:
2015年02期
页码:
158-160
栏目:
临床医学
出版日期:
2015-03-20

文章信息/Info

Title:
 Study on degrees of lumbar curvature by X-ray photography in lateral decubitus and standing position
文章编号:
1006-8147（2015）02-0158-03
作者:
曹 毅1; 2; 万业达2; 李宝玖2; 何岸苇2
 （1.天津医科大学研究生院，天津300070；2.天津市天津医院放射科，天津 300211）
Author(s):
CAO Yi1; 2;  WAN Ye-da2;  LI Bao-jiu2;  HE An-wei2
(1. Graduate School ， Tianjin Medical University, Tianjin 300070，China; 2. Department of Radiology, Tian Jin Hospital, 300211 China)
关键词:
 ; 腰椎曲度; 卧位; 站立位; X线摄影
Keywords:
degrees of lumbar curvature;  lateral decubitus;  standing position;  X-ray photography
分类号:
R445
DOI:
-
文献标志码:
A
摘要:
目的 :比较站立位与卧位X线摄影对腰椎曲度评价的影响。方法:对50例患者分别行站立位与侧卧位X线腰椎检查，采用Seze法测量不同体位的腰椎曲线指数和前凸指数， Cobb法测量不同体位的腰椎前凸角（Cobb角）， Ferguson法测量不同体位的骶骨倾斜角，对测量数据进行统计学分析。结果: 50例患者站立位与侧卧位的弓顶水平均主要位于第三腰椎中份水平。腰椎曲线指数站立位为（1.033±0.323）cm，侧卧位为（0.701±0.348）cm，两者之间有统计学差异（P=0.000），两者之间具有显著相关性（r=0.764, P=0.000）。前凸指数站立位为(1.126±1.185)cm，侧卧位为(0.572±1.138）cm，两者之间有统计学差异（P=0.011），两者之间具有显著相关性（r=0.694, P=0.000）。腰椎前凸角（Cobb角）的数值站立位为(44.380±9.930）°，侧卧位为(33.240±9.490）°，两者之间有统计学差异（P=0.000）,两者之间具有相关性（r=0.419，P=0.002）。骶骨倾斜角的数值站立位为(31.820±7.410）°，侧卧位为(24.940±6.840）°，两者之间有统计学差异（P=0.000）,两者之间具有相关性（r=0.357，P=0.011）。结论:两种X线摄影体位下所测得的腰椎曲度参数值有统计学差异，但具有相关性。两种摄影体位所获得的参数值不能相互替代。
Abstract:
Objective: To compare the degrees of lumbar curvature by X-ray photography in the lateral decubitus and standing position. Methods: 50 patients underwent lumbar spine X-ray examination in the lateral decubitus and standing position. In these two positions, the lumbar curvature index and lumbar lordotic index (Seze’s), the lumbar lordotic angle (Cobb’s angle), and the sacral slant angle (Ferguson’s) were all measured and analyzed by statistical methods. Results: The arch top levels of all 50 patients were mainly located at the third lumbar level in both positions. The lumbar curvature index of 50 patients was bigger in the standing position (1.033±0.323) cm than that in the lateral decubitus (0.701±0.348)cm, showing significant difference（P=0.000）,and were significantly correlated（r=0.764, P=0.000）. The lumbar lordotic index in the standing position (1.126±1.185 cm) was also higher that in the lateral decubitus (0.572±1.138 cm), showing significant difference（P=0.011）, and were significantly correlated（r=0.694, P=0.000）. The Cobb’s angle in the standing position (44.380±9.930 °) was higher than that in the lateral decubitus (33.240±9.490 °), showing significant difference（P=0.000）, and were significantly correlated（r=0.419, P=0.002）. The sacral slant angle in standing position (31.820±7.410°)was higher than that in decubitus (24.940±6.840) °, showing significant difference（P=0.000）, and were significantly correlated（r=0.357, P=0.011）. Conclusion: The degrees of lumbar curvature are significantly different in different positions by X-ray photography, but are significantly correlated. Therefore, the two positions by photography can’t substitute for each other in clinical application.

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备注/Memo

备注/Memo:
作者简介 曹毅（1981-），男，技师，硕士在读，研究方向：医学影像技术；通信作者：万业达，E-mail: yd_wan@sina.com。
更新日期/Last Update: 2015-03-24