|本期目录/Table of Contents|

[1]户小彬,张涛,王欣.腰椎关节突三维角度与单节段同水平腰椎间盘突出相关性研究[J].天津医科大学学报,2020,26(05):454-456，470.
　HU Xiao-bin,ZHANG Tao,WANG Xin.Study on the relationship between the three-dimensional angle of lumbar facet and single level lumbar disc herniation[J].Journal of Tianjin Medical University,2020,26(05):454-456，470.
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腰椎关节突三维角度与单节段同水平腰椎间盘突出相关性研究(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
26卷
期数:
2020年05期
页码:
454-456，470
栏目:
临床医学
出版日期:
2020-09-20

文章信息/Info

Title:
Study on the relationship between the three-dimensional angle of lumbar facet and single level lumbar disc herniation
文章编号:
1006-8147(2020)05-0454-04
作者:
户小彬1; 张涛2; 王欣3
（1.天津医科大学一中心临床学院，天津300192； 2.天津市第一中心医院骨科,天津300192；3.南开大学附属医院（天津市第四医院）放射科，天津 300222）
Author(s):
HU Xiao-bin; ZHANG Tao; WANG Xin
（1.The First Central Clinical College, Tianjing Medical University, Tianjin 300192，China； 2.Department of Orthopaedics, Tianjin First Central Hospital, Tianjin 300192,China；3.Department of Radiology, Affiliated Hospital of Nankai University（Tianjin Fourth Hospital）, Tianjin 300222, China）
关键词:
腰椎间盘突出; 腰椎关节突; 三维角度
Keywords:
lumbar disc herniation; lumbar facet; three dimensional angle
分类号:
R681.5+3
DOI:
-
文献标志码:
A
摘要:
目的：探讨腰椎关节突三维角度与单节段同水平腰椎间盘突出的相关性。方法：选取2018年6月—2019年6月我院收治的单纯性单节段腰间盘突出患者105例，选取同期无腰椎疾病患者60例为对照 组。采用CT及X线测定腰椎3个平面L3～S1关节突角度。随后采用Fujiwara标准进行分级，按照腰椎间盘突出等级分为3组对比滑脱程度。结果：在横断面上，腰椎间盘突出患者关节突不对称比率明显大于 对照组（P ＜0.05），且关节突角更偏矢状位。在冠状位上，腰椎间盘突出患者两侧关节突不对称比率明显大于对照组（P ＜0.05），且小关节角更偏竖直位。在矢状位上，腰椎间盘突出患者更偏水平 位（P ＜0.05）。腰椎间盘突出患者关节突存在不同程度的突出（Ⅱ～Ⅳ度），按照关节突关节的突出等级将腰椎间盘突出患者分为3组，各组间突出指数差异无统计学意义（P ＞0.05）。腰椎间盘突出 患者关节突角度与突出程度具有相关性（r=0.755，P＜0.05）。结论：腰椎关节突角度与单节段同水平腰椎间盘突出具有一定的相关性。
Abstract:
Objective: To explore the relationship between the three-dimensional angle of lumbar facet and single level lumbar disc herniation. Methods: From June 2018 to June 2019, 105 patients with simple single segment lumbar disc herniation and 60 patients without lumbar disease in the same period were selected as the control group. The protrusion angles of L3-S1 joints in three planes of lumbar spine were measured by CT and X-ray. Then, Fujiwara standard was used for classification and the degree of lumbar disc herniation was divided into three groups. Results:In the cross section, the ratio of facet asymmetry in patients with lumbar disc herniation was significantly higher than that in the control group(P ＜0.05) and the angle of protrusion was more sagittal. In the coronal position, the asymmetry ratio of bilateral facets in patients with lumbar disc herniation was significantly higher than that in the control group(P ＜0.05) and the facet angle was more vertical. In sagittal position, the angle in patients with lumbar disc herniation were more horizontal(P ＜0.05). Patients with lumbar disc herniation have different degrees of protrusion(Ⅱ-Ⅳdegrees). According to the protrusion level of joint process, the patients with lumbar disc herniation were divided into three groups. There was no significant difference in protrusion index between each group(P＞0.05).There was a correlation between the angle and the degree of joint protrusion in patients with lumbar disc herniation（r=0.755, P<0.05）. Conclusion:There is a certain correlation between the protrusion angle of lumbar facet and single level lumbar disc herniation.

参考文献/References:

[1] 冯帆,蔡毅,李颖波,等.腰椎间盘突出症7种手术修复方式差异的网络Meta分析[J].中国组织工程研究, 2020,24(3): 453
[2] 余洋,樊效鸿,顾党伟,等.腰椎经皮内镜下不同部位关节突成形对椎间盘力学影响的三维有限元分析[J]. 重庆医学, 2019,48(1): 120
[3] 李同军,于志国,刘旭东,等.齐刺法结合拔伸下关节复位术治疗腰椎间盘突出症的临床研究[J]. 针灸临床杂志, 2018,34(8): 16
[4] 黄道余.Dynesys动态内固定治疗腰椎退行性疾病生物力学特点与邻近节段退变的关系[J].中国组织工程研究, 2019,23(24): 3895
[5] 黄胱曦,刘炎,陈文治.腰椎管狭窄症患者腰椎关节突关节退行性变化的MRI影像评估[J].中国组织工程研究,2019,23(24): 3852
[6] Kang M, Park J, Kuh S, et al. Preoperative radiographic clues for transdural disc herniation: could it be predictable[J]. Acta Neurochirurgica, 2019, 161(12): 2409
[7] Deng R, Huang Z, Li X, et al. The effectiveness and safety of acupuncture in the treatment of lumbar disc herniation: protocol for a systematic review and meta-analysis[J]. Medicine (Baltimore), 2020, 99(12): e18930
[8] Yeung A, Wei S H. Surgical outcome of workman′s comp patients undergoing endoscopic foraminal decompression for lumbar herniated disc[J]. J Spine Surg, 2020, 6(Suppl 1): S116
[9] Zelenkov P, Nazarov V V, Kisaryev S, et al. Learning curve and early results of interlaminar and transforaminal full-endoscopic resection of lumbar disc herniations[J]. Cureus, 2020, 12(3): e7157
[10] Wang Y, Zhang H, Xia L, et al. Effectiveness and safety of moxibustion in treatment of lumbar disc herniation: a systematic review and meta-analysis[J]. J Tradit Chin Med,2019, 39(5): 599
[11] Liu Y, Zhao J, Tian Y. Efficacy and safety of electroacupuncture in treatment of lumbar disc herniation: a protocol for a cohort study[J]. J Tradit Chin Med, 2019, 39(1):127
[12] 姜嘉伟, 崔志明. 腰椎关节突关节不对称的研究进展[J].中华临床医师杂志:电子版, 2019,13(2): 152
[13] 肖伟平.腰椎小关节矢状化与腰椎退变性疾病之间的相关性分析及相互作用机制的初步探讨[D].南昌:南昌大学, 2017
[14] 任东成,丁金勇,徐继禧,等.青少年腰椎间盘突出症患者下腰椎关节突关节不对称情况分析[J].中国脊柱脊髓杂志,2019, 29(5): 437
[15] 吴青坡,刘志平,孙国绍.腰椎间盘突出症术后腰痛的临床研究[J].中国疼痛医学杂志, 2018, 24(3): 235

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备注/Memo

备注/Memo:
作者简介 户小彬（1982-），男，主治医师，硕士在读，研究方向：脊柱及骨科创伤；
通信作者：张涛，E-mail：huxiaobin2009@126.com。
更新日期/Last Update: 2020-09-18