CAJ | 학술논문

目的研究腰骶部移行椎与腰椎间盘突出症的相关性.方法选择25例非椎间盘突出症原因而行腰椎X线检查患者作为对照组,另外经手术证实为腰间盘突出25例患者设为腰椎间盘突出症观察组.比较患者腰椎正位X线片,统计两组患者出现腰骶部移行椎概率,并分析移行椎与腰椎间盘突出的相互关系.结果对照组患者腰骶部移行椎发生率为11.9%,腰椎间盘突出症组的发生率为65.5%,差异有统计学意义(P<0.05).椎间盘突出观察组患者中,LIDH合并移行椎者,椎间盘移行椎上一间隙发生椎间盘突出者56.3%,移行椎LIDH发生在移行椎畸形同侧者31.3%,而发生在移行椎畸形的对侧占25.0%;椎间盘移行椎下一间隙发生椎间盘突出者43.8%,同侧占18.8%,对侧占25.0%.结论腰骶部移行椎与并发腰椎间盘突出症相互关系密切,是导致腰椎间盘突出症的高危因素.
목적연구요저부이행추여요추간반돌출증적상관성.방법선택25례비추간반돌출증원인이행요추X선검사환자작위대조조,령외경수술증실위요간반돌출25례환자설위요추간반돌출증관찰조.비교환자요추정위X선편,통계량조환자출현요저부이행추개솔,병분석이행추여요추간반돌출적상호관계.결과대조조환자요저부이행추발생솔위11.9%,요추간반돌출증조적발생솔위65.5%,차이유통계학의의(P<0.05).추간반돌출관찰조환자중,LIDH합병이행추자,추간반이행추상일간극발생추간반돌출자56.3%,이행추LIDH발생재이행추기형동측자31.3%,이발생재이행추기형적대측점25.0%;추간반이행추하일간극발생추간반돌출자43.8%,동측점18.8%,대측점25.0%.결론요저부이행추여병발요추간반돌출증상호관계밀절,시도치요추간반돌출증적고위인소.
Objective To investigate the relationship between lumbosacral transitional bertebra and the lumbar disc hermination. Methods The X-ray photographs of lumbar vertebra were retrospectively studied of patients with LDH confrmed by surgery, moreover the differential incidence of LDH between the two groups and the relationship between transitianl vertebra and the position of discherniation were statistically analysised. Results The incidence of lumbosacral transitional vertebra was 11.9% in control group. In the LDH group,the differencewas statistically signifcant. In the group with single lumbosacral transitional bertebra, there was 65.5% of LDH occurred on same side of transitional vertebra, 56.3% of which occurred at upper one disc of transitional vertebra; however 31.3% of LDH on the opposite side and transitional vertebra accounts for 25.0%, while 43.8% of which occurred at upper one disc of transitional vertebra; however 18.8% of LDH on the opposite side and transitional vertebra accounts for 25.0%. Conclusion There is closer relationship between lumbosacral transitional vertebra and LDH, and lumbosacral transitional vertebra is one of important factors in emergence of LDH.