南昌大学学报（医学版）
南昌大學學報（醫學版）
남창대학학보（의학판）
ACTA ACADEMIAE MEDICINAE JIANGXI
2014年
7期
37-39
,共3页
洪波%赵鹤亮%崔颖%杨冬生%史继国
洪波%趙鶴亮%崔穎%楊鼕生%史繼國
홍파%조학량%최영%양동생%사계국
退变性腰椎滑脱%峡部裂性腰椎滑脱%性别%年龄%发病部位
退變性腰椎滑脫%峽部裂性腰椎滑脫%性彆%年齡%髮病部位
퇴변성요추활탈%협부렬성요추활탈%성별%년령%발병부위
degenerative lumber spondylylisthesis%isthmic spondylolisthesis%gender%age%diseased part
目的：初步探讨峡部裂性腰椎滑脱（spondylolysis of lumbar spondylolisthesis，SLS）和退变性腰椎滑脱（de-generative lumber spondylylisthesis，DLS）发病部位与性别、年龄的关系。方法选取178例经 CT确诊的腰椎滑脱患者，其中峡部裂性腰椎滑脱患者94例（SLS组），DLS患者84例（DLS组），分别整理、分析2组患者性别、年龄、发病部位等资料。结果 SLS组男女比4351；DLS组男女比417。SLS组的年龄小于 DLS组[（55．31±11．33）岁比（64．00±10．89）岁，u＝5．21，P＜0．01）]。SLS和 DLS在不同部位患病率差异有统计学意义（χ2＝39．666，P＝0．000）；SLS发病部位与性别差异无统计学意义（χ2＝3．156，P＝0．076），DLS发病部位与性别差异有统计学意义（χ2＝3．878，P＝0．049）。结论 SLS好发 L5，男女无显著差异；DLS好发于 L4，女性明显多于男性；SLS发病年龄早于DLS。
目的：初步探討峽部裂性腰椎滑脫（spondylolysis of lumbar spondylolisthesis，SLS）和退變性腰椎滑脫（de-generative lumber spondylylisthesis，DLS）髮病部位與性彆、年齡的關繫。方法選取178例經 CT確診的腰椎滑脫患者，其中峽部裂性腰椎滑脫患者94例（SLS組），DLS患者84例（DLS組），分彆整理、分析2組患者性彆、年齡、髮病部位等資料。結果 SLS組男女比4351；DLS組男女比417。SLS組的年齡小于 DLS組[（55．31±11．33）歲比（64．00±10．89）歲，u＝5．21，P＜0．01）]。SLS和 DLS在不同部位患病率差異有統計學意義（χ2＝39．666，P＝0．000）；SLS髮病部位與性彆差異無統計學意義（χ2＝3．156，P＝0．076），DLS髮病部位與性彆差異有統計學意義（χ2＝3．878，P＝0．049）。結論 SLS好髮 L5，男女無顯著差異；DLS好髮于 L4，女性明顯多于男性；SLS髮病年齡早于DLS。
목적：초보탐토협부렬성요추활탈（spondylolysis of lumbar spondylolisthesis，SLS）화퇴변성요추활탈（de-generative lumber spondylylisthesis，DLS）발병부위여성별、년령적관계。방법선취178례경 CT학진적요추활탈환자，기중협부렬성요추활탈환자94례（SLS조），DLS환자84례（DLS조），분별정리、분석2조환자성별、년령、발병부위등자료。결과 SLS조남녀비4351；DLS조남녀비417。SLS조적년령소우 DLS조[（55．31±11．33）세비（64．00±10．89）세，u＝5．21，P＜0．01）]。SLS화 DLS재불동부위환병솔차이유통계학의의（χ2＝39．666，P＝0．000）；SLS발병부위여성별차이무통계학의의（χ2＝3．156，P＝0．076），DLS발병부위여성별차이유통계학의의（χ2＝3．878，P＝0．049）。결론 SLS호발 L5，남녀무현저차이；DLS호발우 L4，녀성명현다우남성；SLS발병년령조우DLS。
Objective To investigate the relationships of diseased part to the gender and age in patients with spondylolysis of lumbar spondylolisthesis(SLS)or degenerative lumbar spondylylis-thesis(DLS).Methods The gender,age and diseased part were analyzed in 178 patients with CT-confirmed lumbar spondylolisthesis(94 patients with SLS and 84 patients with DLS).Results The male-to-female ratio was 4351 in SLS group and 417 in DLS group.Compared with DLS group,the mean age of patients significantly decreased in SLS group[(55.31 ± 11.33)years vs (64.00±10.89)years,u=5.21,P<0.01].There was a significant difference in the incidence of lumbar spondylolisthesis in different diseased parts between the two groups(χ2=39.666,P=0.000).The difference in diseased part between males and females was significant in DLS group (χ2=3.878,P=0.049),but not significant in SLS group(χ2=3.156,P=0.076).Conclusion The SLS usually occurs at L5 ,and there is no significant difference between males and females. DLS usually occurs at L4 ,and females have a higher incidence of L4 DLS than males.In addition, SLS occurs at an earlier age than DLS.
