CAJ | 학술논문

目的探讨腰椎间盘突出症(LDH)患者小关节突不对称随时间的变化. 方法对54例LDH患者进行前瞻性分析,CT测量判断突出间隙有无小关节突不对称,并测量小关节角,与2年后观察的结果进行比较. 结果 2年期观察前后LDH患者的小关节突平面方向矢状突占多数,2年前后小关节突平面方向改变(P＞0.05).2年时间里有7例患者小关节突不对称消失,另有7例患者小关节突不对称出现,2年里出现和消失的小关节突不对称的例数比较,差异无统计学意义(P＞0.05). 结论小关节平面及不对称会随时间的改变而改变,观察小关节不对称与LDH的关系应该在一个时间段而不是时间点上进行.
목적 탐토요추간반돌출증(LDH)환자소관절돌불대칭수시간적변화. 방법 대54례LDH환자진행전첨성분석,CT측량판단돌출간극유무소관절돌불대칭,병측량소관절각,여2년후관찰적결과진행비교. 결과 2년기관찰전후LDH환자적소관절돌평면방향시상돌점다수,2년전후소관절돌평면방향개변(P＞0.05).2년시간리유7례환자소관절돌불대칭소실,령유7례환자소관절돌불대칭출현,2년리출현화소실적소관절돌불대칭적례수비교,차이무통계학의의(P＞0.05). 결론소관절평면급불대칭회수시간적개변이개변,관찰소관절불대칭여LDH적관계응해재일개시간단이불시시간점상진행.
Objective To discuss the time-dependent changes of facet joint asymmetry in patients with lumbar disc herniation (LDH). Methods A total of 54 patients with LDH were prospectively analyzed. CT was used to judge whether there existed small joint facet asymmetry and to measure the facet joints. The present results were compared with the results that would be investigated two years later. Results The sagittal process of small facet plane accounted the majority in patients with LDH after two years, with no statistical difference compared with the results before two years (P ＞ 0.05). During 2-year period, the facet joint asymmetry disappeared in seven patients, while the facet joint asymmetry occurred in other seven patients, with no statistical difference (P ＞ 0.05). Conclusions Facet plane and the asymmetry will change with time. Observation of the relationship between facet joint asymmetry and LDH should be carried out in a period of time rather than at a time point.