【摘要】 目的:进一步提高对腰椎滑脱X诊断的认识。方法:回归性分析102例腰椎滑脱的图片资料。结果:本组资料,病变多累计L3~5椎体,51例累及L4椎体,前滑脱42例(86%),30例为多发,后滑脱26例(87%),椎体互相前后滑脱4例(13%);崩裂性滑脱12例(12%),退变性滑脱90例(88%);Ⅰ度93例(91%),Ⅱ度6例(6%),Ⅲ度3例(3%)。所用患者均有不同程度的退行性变。结论:常规X线检查不仅可以对腰椎滑脱能够明确诊断,还可以准确显示椎体、椎间盘改变及椎小关节的间接征象。必要时加做站立过伸过屈位片,更能真实的反映腰椎滑脱的程度与稳定性。更多还原

【Abstract】 Objective: To furthering improve the understanding of X ray in the diagnosis of lumbar spondylolisthesis. Methods:102 cases of lumbar spondylolisthesis images were regressively analyzed.Results:The data showed, the cumulative L3~5 vertebral body lesions, 51 cases involved vertebral body of L4, spondylolisthesis was 42 cases(86%), 30 cases were multiple, retrolisthesis was 26 cases(87%),vertebral spondylolisthesis with spondylolisthesis and retrolisthesis was 4 cases(13%), spondylolytic spondylolisthesis was 12cases(12%), degenerative spondylolisthesis was 90 cases(88%), Ⅰgrade was 93 cases(91%), II grade was 6 cases(6%),III grade was 3 cases(3%). The degrees of degenerative change were varying. Conclusion: routine X-ray examination can make a definite diagnosis for lumbar spondylolisthesis; indirect signs can also display vertebral body and intervertebral disc, facet joint change. When necessary, doing hyperextension curved stand pieces can reflect the degree and the stability of lumbar spondylolisthesis.更多还原