CAJ | 학술논문

目的：探讨峡部裂性腰椎滑脱与相关影响因素的关系。方法选取我科2010年4月至2013年12月共62例峡部裂性腰椎滑脱患者，其中男性28例，女性34例；对照组选取同期性别、年龄相匹配的病例62例，两组病例发病部位均为L5。对两组病例椎弓峡部宽度、关节突关节面与矢状面夹角、退变程度、腰骶角等因素与腰椎滑脱关系进行分析研究，所得数据应用统计学软件SPSS13.0进行处理，对两组计量资料和计数资料分别应用t检验和χ2检验，得出相应结论。结果应用t检验分别对峡部裂组与对照组下列均数进行比较：(1)椎弓峡部宽度：t=-6.553，P<0.001；(2)关节突关节面与矢状面夹角：t=2.381，P<0.01；(3)腰骶角：t=2.304，P<0.05；以上均数差异均有统计学意义。两组椎间关节退变程度经χ2检验，χ2=16.160，P<0.01，差异有显著统计学意义。结论椎弓峡部发育不良或形态改变(纤细)为峡部裂性腰椎滑脱的重要因素，而椎间关节夹角、退变程度以及腰骶角在峡部裂性腰椎滑脱形成中起到一定作用，或者为其继发改变，两者具有协同作用。
목적：탐토협부렬성요추활탈여상관영향인소적관계。방법선취아과2010년4월지2013년12월공62례협부렬성요추활탈환자，기중남성28례，녀성34례；대조조선취동기성별、년령상필배적병례62례，량조병례발병부위균위L5。대량조병례추궁협부관도、관절돌관절면여시상면협각、퇴변정도、요저각등인소여요추활탈관계진행분석연구，소득수거응용통계학연건SPSS13.0진행처리，대량조계량자료화계수자료분별응용t검험화χ2검험，득출상응결론。결과응용t검험분별대협부렬조여대조조하렬균수진행비교：(1)추궁협부관도：t=-6.553，P<0.001；(2)관절돌관절면여시상면협각：t=2.381，P<0.01；(3)요저각：t=2.304，P<0.05；이상균수차이균유통계학의의。량조추간관절퇴변정도경χ2검험，χ2=16.160，P<0.01，차이유현저통계학의의。결론추궁협부발육불량혹형태개변(섬세)위협부렬성요추활탈적중요인소，이추간관절협각、퇴변정도이급요저각재협부렬성요추활탈형성중기도일정작용，혹자위기계발개변，량자구유협동작용。
Objective To investigate and study the lumber isthmic spondylolisthesis and its related factors. Methods Sixty-two patients with lumbar spondylolisthesis in our department from 2010 April to 2013 December were selected as research object (spondylolisthesis group), including 28 males and 34 females;the control group from the same gender, age matched 62 cases. L5 is the common site of pathological changes of two groups. Analysis of two cases of vertebral arch isthmus width, facet and sagittal angle, degeneration, lumbosacral angle of lumbar spondylolis-thesis. The data was analyzed by SPSS13.0 software. T-test was used for two groups of quantitative data and chi square test for count data. The resuce of P<0.05 was statistically significant. Results T test of spondylolisthesis group and control group were compared:(1) isthmus width showed statistically significant difference between the two groups (t=-6.553, P<0.001); (2) facet and sagittal angle showed statistically significant difference between the two groups (t=2.381, P<0.01);(3) lumbosacral angle showed statistically significant difference between the two groups (t=2.304, P<0.05). Intervertebral joint degenerationby showed statistically significant difference between two grops (χ2=16.160, P<0.01). Conclusion Vertebral arch isthmus dysplasia or morphological changes (slender) is an important factor in isthmic spondylolisthesis, and intervertebral joint angle, degeneration and lumbosacral angle play a role in the isthmic spondylolisthesis or act as the secondary changes of the isthmic spondylolisthesis, which have a synergis-tic effect.