摘要
目的 :探索腰椎骶化(LS)对腰椎间盘突出症(LDH)自然病程的影响。方法 :按纳入标准选取2014年在我院就诊的LDH的患者382例,根据X光片分为LS组和非LS组。在接受相同非手术治疗后随访1年,分别在6个月和1年时评价并比较两组患者的腰椎稳定性、椎间盘退变程度、下腰痛及下肢放射痛等临床症状的差异。结果 :完成随访患者共262例,其中LS组患者72例,非LSTV组患者190例,年龄、性别、LDH发生节段、腰椎不稳无统计学差异。与非LS组患者相比,LS组患者能够促进腰椎不稳,且腰椎间盘退变的时间更早、程度更重,下腰痛及下肢放射痛等临床症状也更早出现,程度更重。结论 :LS能够在LDH自然病程中起促进作用。
Objective： To find out the effects of lumbar sacralization （LS） on the natural course of lumbar disc herniation （LDH）. Methods： Three hundred and eighty-two patients treated in our hospital in 2014 were selected based on inclusive criteria and divided into LS group and non-LS group based on X-ray imagining. All patients accepted same non-surgical treatments and were followed up for 1 year. Stability, degeneration of inter-body disc, low back pain and lower limb pain were compared between two groups at six months and one year follow-up. Results： Total patients completed follow-up were 262 cases, in which 72 patients were in LS group while 190 were in non-LS group. There were no statistical differences between the two groups in age, gender, segment of LDH and stability. Compared with patients without LS, lumbar instability, advanced degeneration of lumbar inter-body disc, low back pain and lower limb pain could be promoted in LS patients. Conclusion： LS is able to promote the natural course of LDH.
作者
徐巨梁
XU Juliang(Qixian Community Health Service Center of Fengxian District, Shanghai 201403, China)
出处
《上海医药》
CAS
2017年第3期47-50,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
腰椎区
脊柱发育异常
椎间盘退变
lumbosacral region
spinal dysplasia
intervertebral disc degeneration
