摘要
目的分析下腰痛患者腰椎间盘突出与椎间高度指数及腰椎前凸角的关系。方法选取因下腰痛接受治疗的135例患者,根据是否有腰椎间盘突出将其分为2组,非腰椎间盘突出组(NLDH组)54例,腰椎间盘突出组(LDH组)81例。比较2组患者椎间高度指数、腰椎前凸角,并采用Spearman等级非参数检验分析腰椎间盘突出与椎间高度指数、腰椎前凸角的相关性。结果2组患者椎间高度指数从L1~L2节段至L5~S1节段呈逐渐升高趋势,L5~S1节段达到最高,差异均有统计学意义(P<0.05);LDH组各节段椎间高度指数均较NLDH组相应节段低,差异均有统计学意义(P<0.05)。LDH组腰椎前凸角小于NLDH组,差异有统计学意义(P<0.05)。Spearman等级非参数相关性分析结果显示,腰椎间盘突出与L1~L2节段至L5~S1节段椎间高度指数及腰椎前凸角呈负相关(P<0.05)。结论下腰痛患者腰椎间盘突出与椎间高度指数、腰椎前凸角呈负相关,且下腰痛患者椎间高度指数自L1~L2节段至L5~S1节段逐渐升高,椎间高度指数、腰椎前凸角可为下腰痛患者腰椎间盘突出的治疗提供参考。
Objective To analyze the relationship between lumbar disc herniation and intervertebral height index and lumbar lordosis angle in patients with low back pain.Methods A total of 135 patients who received treatment for low back pain were selected and divided into two groups according to whether they had lumbar disc herniation.There were 54 cases in the non-lumbar disc herniation group(NLDH group)and 81 cases in the lumbar disc herniation group(LDH group).The intervertebral height index and lumbar lordosis angle were compared between the two groups,and the Spearman rank nonparametric test was used to analyze the correlation between lumbar disc herniation and intervertebral height index and lumbar lordosis angle.Results The intervertebral height index of patients in the two groups gradually increased from the L1 to L2 segment to the L5 to S1 segment,and the L5 to S1 segment reached the highest,and the differences were statistically significant(P<0.05).The intervertebral height index of each segment in the LDH group were lower than those of the corresponding segment in the NLDH group,and the differences were statistically significant(P<0.05).The lumbar lordosis angle of the LDH group was smaller than that of the NLDH group,and the difference was statistically significant(P<0.05).Spearman rank nonparametric correlation analysis showed that lumbar disc herniation was negatively correlated with the intervertebral height index from the L1 to L2 segment to the L5 to S1 segment and lumbar lordosis angle(P<0.05).Conclusion Lumbar disc herniation in patients with lower back pain is negatively correlated with intervertebral height index and lumbar lordosis angle,and the intervertebral height index in patients with low back pain gradually increases from L1 to L2 segment to L5 to S1 segment.Intervertebral height index and lumbar lordosis angle can provide a reference for the treatment of lumbar disc herniation in patients with low back pain.
作者
张洪杰
胡加绍
张益俊
雷嘉
洪智雄
杨绍新
张坚
普宏润
ZHANG Hong-jie;HU Jia-shao;ZHANG Yi-jun;LEI Jia;HONG Zhi-xiong;YANG Shao-xin;ZHANG Jian;PU Hong-run(Department of Orthopedics,Dehong People’s Hospital/Dehong Hospital Affiliated to Kunming Medical University,Dehong Yunnan 678400,China)
出处
《局解手术学杂志》
2021年第8期690-693,共4页
Journal of Regional Anatomy and Operative Surgery
基金
云南省教育厅科学研究基金资助性项目(2018JS264)。
关键词
下腰痛
腰椎间盘突出
椎间高度指数
腰椎前凸角
low back pain
lumbar disc herniation
intervertebral height index
lumbar lordosis angle
