摘要
目的综述国内外关于飞行人员腰椎许莫氏结节的研究进展,为提高飞行人员腰椎稳定性研究提供思路和参考。资料来源与选择国内外许莫氏结节领域的相关研究论文和专著。资料引用公开发表的相关文献36篇。资料综合腰椎许莫氏结节被普遍认为是椎间盘组织经断裂的软骨终板疝入椎体内形成的软骨结节,其流行病学及发病机制众说纷纭。因为大都无明显的临床症状,曾一度被认为不具研究价值。然而,对飞行人员腰椎许莫氏结节的研究是有现实意义的,腰椎许莫氏结节不仅可以引起腰痛,且与腰椎间盘退变密切相关。飞行人员腰椎许莫氏结节的形成会影响腰椎间盘的黏弹性,从而影响飞行人员抗荷、抗振动的能力,加速腰椎、椎间盘的退变而诱发临床症状或引起飞行耐力降低。结论许莫氏结节与腰椎间盘退变和腰椎失稳密切相关。许莫氏结节好发于腰椎,对腰椎整体的稳定性有着重要影响。
Objective To provide ideas and references for improving the lumbar stability of flying personnel by reviewing the research progress and tendency on Schmorl′s nodes of lumbar spine in flying personnel.Literature resource and selection Relevant papers and monographs about Schmorl′s nodes published at home and abroad.Literature quotation Thirty-six published references were cited.Literature synthesis It is generally considered that Schmorl′s nodes of lumbar spine are cartilaginous nodes formed by the herniation of the intervertebral discs tissue into the vertebral body through the broken cartilaginous endplates.There are different opinions on the epidemiology and pathogenesis of Schmorl′s nodes of lumbar spine.Because most of them have no obvious clinical symptoms,they were once considered to be of no research value.However,the investigation showed that the further study on Schmorl′s nodes of lumbar spine in flying personnel is realistic.Schmorl′s nodes of lumbar spine may not only cause lumbago,but also are closely related to lumbar intervertebral discs degeneration.The formation of Schmorl′s nodes of lumbar spine in flying personnel will affect the viscoelasticity of lumbar intervertebral discs,and this will affect their anti-G and anti-vibration abilities,accelerate the degeneration of lumbar spine and intervertebral discs,and induce clinical symptoms or reduce flight endurance.Conclusions Schmorl′s nodes of lumbar spine are closely related to lumbar disc degeneration and lumbar instability.Schmorl′s nodes are commonly seen in the lumbar spine and have an important effect on the overall stability of lumbar spine of flying personnel.
作者
夏鉴兴
王俊凌
郭彦祥
张文
杨洪敏
魏薇
贾冰洁
Xia Jianxing;Wang Junling;Guo Yanxiang;Zhang Wen;Yang Hongmin;Wei Weijia(Bingjie Air Force Healthcare Center for Special Services,Dujiangyan,Dujiangyan 611830,China)
出处
《中华航空航天医学杂志》
2022年第1期59-62,共4页
Chinese Journal of Aerospace Medicine
关键词
腰椎
许莫氏结节
综述
飞行人员
Lumbar spine
Schmorl′s nodes
Review
Flying personnel
