| 腰骶移行椎:与下腰疼的关系 |
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| 引用本文： | L.Nardo,H.Alizai,W.Virayavanich,F.Liu,A Hernandez,J.A.Lynch,刘丽华. 腰骶移行椎:与下腰疼的关系[J]. 国际医学放射学杂志, 2013, 0(1): 65 |
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| 作者姓名： | L.Nardo H.Alizai W.Virayavanich F.Liu A Hernandez J.A.Lynch 刘丽华 |
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| 作者单位： | Musculoskeletal and Quantitative Imaging Research,Department of Radiology and Biomedical Imaging,University of California San Francisco,185 Berry Street,Suite 350,San Francisco,CA 94107 |
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| 摘 要： | 目的评估自发性骨关节炎中腰骶移行椎的发生率与程度,评估腰骶移行椎与下腰部及臀部疼痛的联系,评估腰骶移行椎分级的可重复性。材料与方法研究经单位伦理委员会批准,获得病人的知情同意。4636例自发性骨性关节炎病人(男1992例,女2804例,年龄45～80岁)进行常规立位骨盆平片检查,包括L5双侧横突,并按照Castellvi标准进行分级。评价腰骶移行椎的发病率及其与下腰和臀部疼痛的相关性。结果腰骶移行椎的发病率为18.1%(841/4636),男性发病率高于女性(分别为28.1%和11.1%,P<0.001)。在841例腰骶移行椎中,41.72%属Ⅰ型(发育不良的宽大横突),41.4%属Ⅱ型(假关节型),11.5%属Ⅲ型(融合型),5.2%属Ⅳ型(一侧横突融合一侧假关节型)。无腰骶移行椎的受试者中,53.9%存在下腰部疼痛;而在Ⅰ、Ⅱ、Ⅲ和Ⅳ型腰骶移行椎者中下腰疼的发病率分别为46%、73%、40%和66%(χ2检验,P<0.05)。Ⅱ和Ⅳ型病人下腰及臀部疼痛的发病率较高,程度更重(P<0.001)。结论Ⅱ和Ⅳ型腰骶移行椎与下腰及臀部疼痛的发病率和严重性相关。
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Lumbosacral transitional vertebrae:association with low back pain |
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| Affiliation: | L.Nardo,H.Alizai,W.Virayavanich,F.Liu,A Hernandez,J.A.Lynch,et al.Musculoskeletal and Quantitative Imaging Research,Department of Radiology and Biomedical Imaging,University of California San Francisco,185 Berry Street,Suite 350,San Francisco,CA 94107 |
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