摘要
[目的]测量新疆托里县哈萨克族腰椎椎弓根形态及解剖学特点,对比汉族与新疆哈萨克族腰椎椎弓根解剖学特征的差异,为哈萨克族腰椎疾患的手术技巧及手术器械的特异性选择做有效的数据参考。[方法]在本院分别随机抽取病房、门诊患者及健康志愿者汉族60例(男30例,女30例)哈萨克族60例(男30例,女30例),年龄25~55岁。按照性别进行分组,通过CT及三维重建技术测量L_(1~5)椎体的横径和矢状径。所有入选患者经过询问病史排除先天性及遗传性疾病,行X线检查排除腰椎病理性改变。[结果]腰椎椎弓根矢状径与横径指标男性组均大于女性组,差异有统计学意义(P<0.05)。哈萨克族腰椎各径线值明显大于汉族(P<0.05)。[结论]与汉族平均值相比,哈萨克族的腰椎椎弓根横径与矢状径值均明显偏大;因此在目前的腰椎手术过程中,无论是手术方式的选择还是内固定器械的选择都与汉族人有一定差别。
[Objective] To investigate the lumbar pedicle anatomy and morphology of Kazakh population in Torrey county, Xinjiang autonomous region, and observe the difference between Han and Kazak population. [Method] Sixty Han and 60 Kazakh volunteers, including 30 males and 30 females in each group, were selected for this study. All persons received his- torical inquiry and X ray examination to exclude congenital and genetic diseases, as well as the lumbar spine lesions. In each group, persons were divided into two sub-groups according to their gender. Three-dimensional reconstruction was performed with CT and the transverse and sagittal diameters were measured, respectively. [Results] In both the Han and Kazakh groups, the sagittal diameter and transverse diameter were larger in the male sub-group than the female sub-group, the difference was statistically significant （P〈0.05） . The sagittal and transverse diameter in Kazakh group were larger than in Han group, showing significant differences （P〈0.05） . [Conclusion] The transverse and sagittal diameters in Kazakh population are significantly larger than those of Han population, indicating the differences of surgical procedure and instrument selection for two population groups.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2017年第9期835-837,共3页
Orthopedic Journal of China
基金
新疆塔城市青年科研项目
关键词
腰椎椎弓根
三维CT
内固定术
lumbar pedicle, three-dimensional CT, internal fixation
