标题：峡部裂性腰椎滑脱相关影响因素对照分析

      作者：洪 波 1，赵鹤亮 1，赵新斌 1，杨冬生 1，崔 颖 2
    （1.河北联合大学附属医院影像科，河北 唐山 063000；
2.河北联合大学护理与康复学院，河北 唐山 063000）

      卷次： 2014年25卷13期

      【摘要】 目的 探讨峡部裂性腰椎滑脱与相关影响因素的关系。方法 选取我科2010年4月至2013年12
月共62例峡部裂性腰椎滑脱患者，其中男性28例，女性34例；对照组选取同期性别、年龄相匹配的病例62例，两
组病例发病部位均为L5。对两组病例椎弓峡部宽度、关节突关节面与矢状面夹角、退变程度、腰骶角等因素与腰
椎滑脱关系进行分析研究，所得数据应用统计学软件SPSS13.0进行处理，对两组计量资料和计数资料分别应用 t
检验和χ2检验，得出相应结论。结果 应用 t检验分别对峡部裂组与对照组下列均数进行比较：(1)椎弓峡部宽
度：t=-6.553，P<0.001；(2)关节突关节面与矢状面夹角：t=2.381，P<0.01；(3)腰骶角：t=2.304，P<0.05；以上均数差
异均有统计学意义。两组椎间关节退变程度经χ2检验，χ2=16.160，P<0.01，差异有显著统计学意义。结论 椎弓
峡部发育不良或形态改变(纤细)为峡部裂性腰椎滑脱的重要因素，而椎间关节夹角、退变程度以及腰骶角在峡部
裂性腰椎滑脱形成中起到一定作用，或者为其继发改变，两者具有协同作用。

      【关键词】 峡部裂性腰椎滑脱；椎弓峡部；腰骶角；椎间关节面夹角

      【中图分类号】 R681.5+7 【文献标识码】 A 【文章编号】 1003—6350（2014）13—1936—03


Compararison analysis of lumber isthmic spondylolysis and its related factors.
HONG Bo 1, ZHAO He-liang 1,
ZHAO Xin-bin 1, YANG Dong-sheng 1, CUI Ying 2. 1. Department of Radiology, the first Affiliated Hospital of Hebei
United University, Tangshan 063000, Hebei, CHINA; 2. Hebei United University College of Nursing and Rehabilitation,
Tangshan 063000, Hebei, CHINA

【Abstract】 Objective To investigate and study the lumber isthmic spondylolisthesis and its related factors.
Methods Sixty-two patients with lumbar spondylolisthesis in our department from 2010 April to 2013 December
were selected as research object (spondylolisthesis group), including 28 males and 34 females; the control group from
the same gender, age matched 62 cases. L5 is the common site of pathological changes of two groups. Analysis of two
cases of vertebral arch isthmus width, facet and sagittal angle, degeneration, lumbosacral angle of lumbar spondylolis-
thesis. The data was analyzed by SPSS13.0 software. T-test was used for two groups of quantitative data and chi
square test for count data. The resuce of P<0.05 was statistically significant. Results T test of spondylolisthesis
group and control group were compared: (1) isthmus width showed statistically significant difference between the two
groups (t=-6.553, P<0.001); (2) facet and sagittal angle showed statistically significant difference between the two
groups (t=2.381, P<0.01); (3) lumbosacral angle showed statistically significant difference between the two groups (t=
2.304, P<0.05). Intervertebral joint degenerationby showed statistically significant difference between two grops (χ2=
16.160, P<0.01). Conclusion Vertebral arch isthmus dysplasia or morphological changes (slender) is an important
factor in isthmic spondylolisthesis, and intervertebral joint angle, degeneration and lumbosacral angle play a role in
the isthmic spondylolisthesis or act as the secondary changes of the isthmic spondylolisthesis, which have a synergis-
tic effect.

      【Key words】 Isthmic spondylolisthesis; Pedicle of vertebral arch isthmus; Lumbosacral angle; Facet angle
·论 著·