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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第25卷

期數(shù):

2013年10期

頁碼:

24-26

欄目:

臨床研究

出版日期:

2013-10-30

文章信息/Info

Title:

Clinical study on the relationship between recurrence of lumbar disc herniation and curvature of lumbar vertebrae

作者:

鄭兆儉; 林檣; 周倩; 陳志瑞

浙江省溫嶺市第一人民醫(yī)院,浙江 溫嶺 317500

Author(s):

Zheng Zhaojian^*; Lin Qiang; Zhou Qian; Chen Zhirui.^*

The Wenling First People's Hospital of Zhejiang Province,Wenling 317500,Zhejiang,China

關(guān)鍵詞:

椎間盤移位 腰椎間盤突出癥 復(fù)發(fā) 腰椎曲度 腰椎曲線指數(shù) 腰椎前凸角度 骶骨傾斜角

Keywords:

Intervertebral disk displacement;  Lumbar disc herniation;  Recurrence;  Curvature of lumbar vertebrae;  Index of lumbar spinal curvature;  lumbar lordosis angle;  Sacrum slant angle

摘要:

目的:探討腰椎間盤突出癥的復(fù)發(fā)與腰椎曲度的關(guān)系。方法:將經(jīng)手法治療后治愈且獲得1年隨訪的90例腰椎間盤突出癥患者分為2組,癥狀復(fù)發(fā)的45例患者納入觀察組,癥狀未復(fù)發(fā)的45例患者納入對照組。分別在治療后及隨訪1年時攝腰椎側(cè)位X線片,在X線片上分別測量腰椎曲線指數(shù)、腰椎前凸角度及骶骨傾斜角,并作組間比較。結(jié)果:治療后2組患者的腰椎曲線指數(shù)、腰椎前凸角度、骶骨傾斜角比較,組間差異均無統(tǒng)計學(xué)意義[(10.27±1.35)mm,(10.24±1.27)mm,t=0.275,P=0.886;(43.02°±1.16°),(42.34°±1.57°),t=0.262,P=0.935;(40.04°±3.67°),(40.45°±3.75°),t=0.131,P=0.736]; 隨訪1年時,觀察組患者的腰椎曲線指數(shù)、腰椎前凸角度、骶骨傾斜角均小于對照組患者[(6.18±1.07)mm,(8.50±0.63)mm,t=12.533,P=0.001;(30.54°±1.40°),(40.45°±1.17°),t=36.435,P=0.000;(35.01°±4.19°),(38.02°±4.16°),t=3.417,P=0.019]; 觀察組患者隨訪1年時與治療后腰椎曲線指數(shù)、腰椎前凸角度及骶骨傾斜角的差值均大于對照組 [(4.06±0.72)mm,(1.78±0.65)mm,t=60.135,P=0.000;(12.12°±0.56°),(2.31°±0.46°),t=77.655,P=0.000;(5.37°±1.23°),(2.02°±1.29°),t=72.365,P=0.000]。結(jié)論:腰椎曲線指數(shù)、腰椎前凸角度及骶骨傾斜角小,腰椎間盤突出癥容易復(fù)發(fā)。

Abstract:

Objective:To explore the relationship between recurrence of lumbar disc herniation(LDH)and curvature of lumbar vertebrae.Methods:Ninety patients with LDH who were cured after spinal manipulation and followed up for one year were randomly divided into two groups.Forty-five patients with recrudescent symptoms of LDH were recruited into the observation group,while 45 patients without recrudescent symptoms of LDH were recruited into the control group.Lumbar lateral x-ray films were taken after the treatment and after one-year follow-up respectively,then the index of lumbar spinal curvature,lumbar lordosis angle and sacrum slant angle were measured from x-ray images and were compared between the 2 groups.Results:There were no statistical differences in the index of lumbar spinal curvature,lumbar lordosis angle and sacrum slant angle between the 2 groups respectively after the treatment(10.27+/-1.35 vs 10.24+/-1.27 mm,t=0.275,P=0.886; 43.02+/-1.16 vs 42.34+/-1.57 degrees,t=0.262,P=0.935; 40.04+/-3.67 vs 40.45+/-3.75 degrees,t=0.131,P=0.736).After one-year follow-up,the index of lumbar spinal curvature,lumbar lordosis angle and sacrum slant angle of the observation group were less than that of the control group(6.18+/-1.07 vs 8.50+/-0.63 mm,t=12.533,P=0.001; 30.54+/-1.40 vs 40.45+/-1.17 degrees,t=36.435,P=0.000; 35.01+/-4.19 vs 38.02+/-4.16 degrees,t=3.417,P=0.019).The differences between one-year follow-up and post-treatment of the observation group were larger than that of the control group in the index of lumbar spinal curvature,lumbar lordosis angle and sacrum slant angle(4.06+/-0.72 vs 1.78+/-0.65 mm,t=60.135,P=0.000; 12.12+/-0.56 vs 2.31+/-0.46 degrees,t=77.655,P=0.000; 5.37+/-1.23 vs 2.02+/-1.29 degrees,t=72.365,P=0.000).Conclusion:LDH is likely to relapse when the index of lumbar spinal curvature,lumbar lordosis angle and sacrum slant angle are small.

備注/Memo

備注/Memo:

2012-04-05收稿 2012-06-20修回
基金項目:浙江省中醫(yī)藥管理局科技計劃項目(2010ZS007)

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更新日期/Last Update: 2013-10-30