摘要
目的：进一步提高对腰椎滑脱X诊断的认识。方法：回归性分析102例腰椎滑脱的图片资料。结果：本组资料,病变多累计L3~5椎体,51例累及L4椎体,前滑脱42例（86%）,30例为多发,后滑脱26例（87%）,椎体互相前后滑脱4例（13%）;崩裂性滑脱12例（12%）,退变性滑脱90例（88%）;Ⅰ度93例（91%）,Ⅱ度6例（6%）,Ⅲ度3例（3%）。所用患者均有不同程度的退行性变。结论：常规X线检查不仅可以对腰椎滑脱能够明确诊断,还可以准确显示椎体、椎间盘改变及椎小关节的间接征象。必要时加做站立过伸过屈位片,更能真实的反映腰椎滑脱的程度与稳定性。
Objective： To furthering improve the understanding of X ray in the diagnosis of lumbar spondylolisthesis. Methods：102 cases of lumbar spondylolisthesis images were regressively analyzed.Results：The data showed, the cumulative L3-5 vertebral body lesions, 51 cases involved vertebral body of L,, spondylolisthesis was 42 cases （86%）, 30 cases were multiple, retrolisthesis was 26 cases （87%）,vertebral spondylolisthesis with spondylolisthesis and retrolisthesis was 4 eases （13%）, spondylolytic spondylolisthesis was 12cases （12%）, degenerative spondylolisthesis was 90 cases（88%）, I grade was 93 cases （91%）, II grade was 6 cases（6%）,llI grade was 3 cases （3%）. The degrees of degenerative change were varying. Conclusion： routine X-ray examination can make a definite diagnosis for Imnbar spondylolisthesis; indirect signs can also display vertebral body and intervertebral disc, lheet joint change. When necessary, doing hyperextension curved stand pieces can reflect the degree and the stability of lumbar spondylolisthesis.
出处
《中国医药导刊》
2015年第9期918-919,共2页
Chinese Journal of Medicinal Guide
关键词
腰椎滑脱
站立位
数字化X线摄影诊断
Lumbar spondylolisthesis
Standing
Digital radiograph diagnosis
