腰5骶1椎间盘突出症与骶髂关节紊乱之间的相关性流行病学调查

目的:研究腰5骶1椎间盘突出症与骶髂关节紊乱之间的相关性,为慢性顽固性腰腿痛的防治提供一个新的认识理念和治疗途径。方法:流行病学调查腰5骶1椎间盘突出症的危险因子,可能的危险因素有患者的一般情况、腰5骶1椎间盘突出症的症状与体征、骶髂关节紊乱的症状与体征,以及脊柱与骨盆在X-Ray上的表现,调查资料采用单因素危险度估计和多因素Logistic回归分析。结果:60.3%的腰5骶1椎间盘突出症患者合并有骶髂关节紊乱,腰骶角异常是腰5骶1椎间盘突出症的高危险因素,单因素危险度估OR值是3.18(P<0.01),多因素Logistic回归分析OR值是14.23(P<0.01)。结论:腰5骶1椎间盘突出症与骶骨倾斜紊乱是二联症,二者相互影响且有因果关系,共同存在于腰腿痛疾病中。

Epidemiological Investigation in the Correlation between LsS1 Disc Herniation and Sacroiliac Joint Disorder

Objective：To study the correlation between L5S disc herniation and sacroiliac joint disorder so as to provide a new understanding concepts and therapeutic approach for prevention and treatment of chronic intractable low back pain. Methods： Epidemiological investigation was conducted in the respects of the risk factors of LSS disc herniation, possible risk fac- tors, include the general condition of patients, symptoms and signs of LSS disc herniation as well as sacroiliac joint disorder, and the manifestations of spine and pelvis on the X-Ray. The data were analyzed by single factor risk estimates and multivariate Logistic regression analysis. Results：A total of 60.3% LSS disc herniation patients had sacroiliac joint disorders. Lumbosacral angle abnormality was high risk factor of LSS disc herniation, single factori risk estimated OR value was 3.18 （P〈0.01） and Logistic regression analysis OR value was 14.23 （P〈0.01）. Conclusion：L5S disc herniation and sacrum tilt disorder are interactive, and have a causal relationship, both existing in low back pain.