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脊柱滑脱对腰椎峡部裂的诊断价值及两种测量方法比较
引用本文:屈国林,朱岳龙,王春艳,杨军,张志虎,李长彬,金青松,宋云龙.脊柱滑脱对腰椎峡部裂的诊断价值及两种测量方法比较[J].西南国防医药,2011,21(5):476-478.
作者姓名:屈国林  朱岳龙  王春艳  杨军  张志虎  李长彬  金青松  宋云龙
作者单位:1. 空军总医院体检队医学影像科,北京,100142
2. 空军广州招收飞行学员体检队
3. 沈阳军区空军司令部门诊部放射科
4. 空军济南招收飞行学员中心体检科
5. 空军后勤部门诊部
6. 空军兰州招收飞行学员体检队
7. 空军航空大学门诊部、基地放射科
8. 空军总医院磁共振科,北京,100142
基金项目:2010年度全军科研基金项目
摘    要:目的探讨脊柱滑脱对腰椎峡部裂的诊断价值,比较Meyerding与Taillard方法测量的准确性。方法以招收飞行学员的52例L5双侧峡部裂者作为研究对象,取立位腰椎侧位X线片,分别按Meyerding和Taillard方法测量L5椎体滑脱的程度,计算阳性率,分析滑脱对峡部裂诊断的意义。结果侧位片按Meyerding和Taillard方法测量,L5滑脱率分别为40.38%(21/52)和86.54%(45/52),Taillard较Meyerding测量方法更精细准确(P〈0.05)。结论 L5脊柱滑脱是L5峡部裂诊断的重要间接X线征象,它不仅说明峡部裂的存在,也说明了双侧性;采用Taillard法测量L5滑脱较Meyerding法更准确。在招收飞行员体检和青年人腰椎疾病诊断中,侧位片脊柱滑脱高度提示相应椎体峡部裂的诊断。

关 键 词:飞行学员  腰椎峡部裂  脊柱滑脱  X线诊断

Diagnostic value of spondylolisthesis in lumbar vertebral laminar spondylolysis and comparison of measuring accuracy between two methods
Qu Guolin,Zhu Yuelong,Wang Chunyan,Yang Jun,Zhang Zhihu,Li Changbin,Jin Qingsong,Song Yunlong.Diagnostic value of spondylolisthesis in lumbar vertebral laminar spondylolysis and comparison of measuring accuracy between two methods[J].Medical Journal of National Defending forces in Southwest China,2011,21(5):476-478.
Authors:Qu Guolin  Zhu Yuelong  Wang Chunyan  Yang Jun  Zhang Zhihu  Li Changbin  Jin Qingsong  Song Yunlong
Institution:Qu Guolin1,Zhu Yuelong3,Wang Chunyan4,Yang Jun5,Zhang Zhihu6,Li Changbin7,Jin Qingsong8,Song Yunlong2 1.Department of Medical Image,2.Department of Magnetic Resonance,Examination Center for Pilot Recruitment of Health Examination Team,General Hospital of Air force of PLA,Beijing,100142,China,3.Guangzhou Health Examination Team for Pilot Recruitment of Air Force,Guangzhou,Guangdong,510620,4.Department of Radiology,Outpatient Department of Shenyang Air Force Headquarter,Shenyang,Liaoning,110015,5....
Abstract:Objective To investigate the diagnostic value of spondylolisthesis in lumbar vertebral laminar spondylolysis and compare the measuring accuracy between Meyerding and Taillard methods.Methods 52 cases of bilateral spondylolyis of L5 confirmed in health examination for pilot recruitment were included in this study.According to lateral X-ray films taken in the erect position,the degree of spondylolisthesis of L5 was measured using Meyerding and Taillard methods,respectively,and their positive rates were calcul...
Keywords:student pilot  lumbar spondylolysis  spondylolisthesis  X-ray diagnosis  
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