摘要
目的根据242例腰骶移行椎建立的数据库,研究腰骶移行椎新的分型方法。方法回顾性分析具有完整影像学资料的242例患者,制定了分型系统,对分型的一致性和可重复性进行研究。结果将腰骶移行椎分为5型及8个亚型,分析归纳相应的特点。其中Ⅰ型占38.43%,Ⅱ型占26.44%,Ⅲ型占19.45%,Ⅳ型占11.13%,Ⅴ型占4.55%。观察者间可信度为87%(Kappa系数0.841),可重复性94.5%(Kappa系数0.926)。结论建立腰骶移行椎新的分型,具有直观、简洁、对临床有指导意义。
Objective To identify and classify the lumbosacral transitional vertebrae on the basis of 242 cases. Methods The film data of 242 patients was retrospectively analyged. Classification system were formnlated, the consistency and repeat- ability were investigate. Results This classification divided into 5 types and 8 subtypes with pertiont characters Type I ac- cownted for 38.43% ;type ]I 26.44% ;type Ill 19.45% ;type IV 11.13% and V 4.55% The inter-observer reliability tes- ting was 87% （ Kappa coefficient 0. 841 ）, while inter-boserver reproducibility was 94.5% （ Kappa coefficient 0. 926 ）. Conclu- sion Classification of lumbosacral transitional vertebrae is of vivacity, effectiveness and meaning for clinical use.
出处
《实用骨科杂志》
2013年第9期804-807,共4页
Journal of Practical Orthopaedics
基金
锦州市卫生局科研中心基金(2011JZW016)
关键词
腰骶部
移行椎
分类法
lumbasacral region
transitional vertebrae
classification
