腰椎椎板间隙的放射解剖学测量及分型

doi:10.13418/j.issn.1001-165x.2018.04.006

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (4): 383-386.doi: 10.13418/j.issn.1001-165x.2018.04.006

腰椎椎板间隙的放射解剖学测量及分型

别业俊¹，　常晓涛²，　徐燕笑³，　武凯³，　张史飞¹

1.东莞市常平医院，东莞 523573；　2.空军工程大学门诊部，西安 710051；
3.南方医科大学中医药学院，广州 510515

收稿日期:2017-12-29 出版日期:2018-07-25 发布日期:2018-08-21
通讯作者: 武凯，在读硕士，E-mail:15625986468@163.com
作者简介:别业俊（1965-），男，湖北仙桃人，副主任医师，研究方向：脊柱外科，Tel：13649881048，E-mail：526477751@qq.com

The measurement and classification of lumbar laminae interval space

BIE Ye-jun¹, CHANG Xiao-tao², XU Yan-xiao³, WU Kai³, ZHANG Shi-fei¹

1.Dongguan Changping Hospital, Dongguan, 523573, China; 2. Outpatient Department of Air Force Engineering University, Xi’an 710051, China; 3. Academy of Traditional Chinese Medicine, Southern Medical University, Guangdong Province, Guangzhou 510515

Received:2017-12-29 Online:2018-07-25 Published:2018-08-21

摘要/Abstract

摘要：

目的　观测腰椎椎板间隙的宽度、高度和面积的差异及其形状特征。方法　随机选取常平医院2015年2月到2017年10月拍摄的156例腰椎正位X线片（男67例，女89例）。测量L1～2到L5~S1的椎板间隙高度、宽度及面积。对比不同节段及不同性别腰椎椎板间隙宽度、高度及面积的差异，并对其形态进行分型。结果（1）不同节段椎板间隙高度之间的差异无统计学意义（P＞0.05）；L1～2与L2～3节段椎板间隙宽度间差异无统计学意义（P＞0.05），其余各节段椎板间隙宽度间的差异有统计学意义（P＜0.05）。L4～5和L5~S1间椎板间隙面积差异有统计学意义（P＜0.05），其余各节段椎板间隙面积之间的差异均无统计学意义（P＞0.05）；（2）不同性别椎板间隙高度之间的差异从L1～2到L5~S1间均无统计学意义（P＞0.05）。不同性别L2～3到L5~S1椎板间隙宽度之间的差异有统计学意义（P＜0.05）。不同性别L2～3到L4～5椎板间隙面积之间的差异有统计学意义（P＜0.05）。结论　椎板间隙宽度从L3～4到L5~S1呈显著性递增，L5~S1椎板间隙面积显著大于L4～5；不同性别L4～5和L5~S1的宽度有显著性差异；L1～2和L2～3节段椎板间隙为椭圆形，L3～4为扇形，L4～5和L5~S1近似蝶形。

关键词: 椎板间隙, 　形态, 　宽度, 　高度, 　面积

Abstract:

Objective　To measure the height，width and area of lumbar laminae interval space，and to create a classification of the shape in lumbar laminae interval space. Methods 156(male: 67, female: 89) X-ray pictures with anteroposterior positions were selected randomly from the database of Changping hospital (2015.02-2017.10). The height，width and area of lumbar laminae interval space were measured, then a classification of the shape of each lumbar laminae interval space was created. Result （1）The differences in height of each lumbar laminae interval space was not statistically significant（P＞0.05）. The differences in width of lumbar laminae interval space between L1~2 and L2~3 were not statistically significant（P＞0.05）, and the differences in other segments were statistically significant（P＜0.05）. The differences in the area between the lumbar laminae interval space of L4~5 and L5~S1 was statistically significant（P＜0.05）, and the differences in other segments was not statistically significant（P＞0.05）；（2）The differences in the height of lumbar laminae interval space(from L1~2 to L5~S1) between male and female were not statistically significant（P＞0.05）. The differences in the width of lumbar laminae interval space （from L2~3 to L5~S1）between male and female were statistically significant (P＜0.05）. The area of L2~3, L3~4 and L4~5 lumbar laminae interval space between different sex was statistically significant( P＜0.05). Conclusion The width of lumbar laminae interval space is significantly increased from L3~4 to L5~S1, and the area of lumbar laminae interval space in L5~S1 is larger than that in L4~5; The width of lumbar laminae interval space between L4~5 and L5~S1 in different sex is different; The shape of lumbar laminae interval space in L1~2 and L2~3 is like a oval, the shape in the L3~4 is a fan, and the shape of L4~5 and L5~S1 is similar to a butterfly.

Key words: Lumbar laminae interval space; , Shape; , Width; , Height; , Area

别业俊,常晓涛,徐燕笑,武凯,张史飞. 腰椎椎板间隙的放射解剖学测量及分型[J]. 中国临床解剖学杂志, 2018, 36(4): 383-386.

BIE Ye-jun, CHANG Xiao-tao, XU Yan-xiao, WU Kai, ZHANG Shi-fei. The measurement and classification of lumbar laminae interval space[J]. Chinese Journal Of Clinical Anatomy, 2018, 36(4): 383-386.

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腰椎椎板间隙的放射解剖学测量及分型

The measurement and classification of lumbar laminae interval space

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