退变性脊柱侧凸的流行病学调查

【作者】 张健；

【导师】 陈伯华；

【作者基本信息】 青岛大学 ， 外科学， 2008， 硕士

【摘要】 目的:退变性脊柱侧凸的流行病学调查方法:回顾性分析1000例因腰背痛、下肢痛、间歇性跛行就诊的病人腰椎正侧位X线资料,应用Cobb法测量侧凸的角度,对Cobb’s角与年龄性别的关系进行统计学分析。Cobb角≥10°者确定为脊柱侧凸。退变性脊柱侧凸分为四型:Ⅰ型10°≤25°,Ⅱ型26°≤35°,Ⅲ型36°≤45°,Ⅳ型＞45°。结果:男性591例,患病率为12.5%,女性409例,患病率为15.2%,女/男患病性别基本相等。平均年龄64.4岁,患有退变性脊柱侧凸的91.9%年龄大于60岁,侧凸Cobb’s角大于10°的患病率为13.6%(136例),其中69.1%的侧凸Cobb角为Ⅰ型(10°—25°)(94例),16.2%的侧凸Cobb角为Ⅱ型(26°≤35°)(22例),9.6%的侧凸Cobb角为Ⅲ型(36°≤45°)(13例),5.1%的侧凸Cobb角为Ⅳ型(＞45°)(7例)。结论:成人退变性脊柱侧凸患病率随年龄上升而增加,右侧腰椎侧凸与左侧侧凸患病率基本相同,男性与女性的患病率基本相同,应对中老年退变性脊柱侧凸患者,尤其是60岁以上,要做到积极检查,尽早干预治疗,以减轻痛苦。更多还原

【Abstract】 Objective:To study epidemiology of the degenerative scoliosis.Methods:1000 patients with lumbodynia,lower limbs pain or intermittent claudication were examined for degenerative scoliosis by X-ray.Each patients was measured with Cobb’s angle.The ten of degree of Cobb’s angle was as standard for patient.The four types of scolosis have been recorded separately which is typeⅠ10°≤25°,typeⅡ26°≤35°,typeⅢ36°≤45°,typeⅣ＞45°.Results:136 patiens were definitely diagnosed to have degenerative scoliosis,with a prevalence of 136/1000.The rate was 12.5/100 in males and 15.2/100 in female. The female/male ratio was almost 1:1.It was 91.9%older than 60 years old and the Cobb’s angle was above10°in 136(13.6%).The Cobb’s angle was typeⅠ10°-25°in 94(69.1%),typeⅡ26°-35°in 22(16.2%),typeⅢ36°-45°in 13(9.6 %)and typeⅣ＞45°in 7(5.1%).The average of Cobb’s angle was 25.1°.Conclusions:Degenerative scoliosis tends to develop severely with patients’age increasing,illness frequency rate of degenerative lumbar scoliosis on left is as same as of degenerative lumbar scoliosis on right.Men and Women have the same illness frequency rate of degenerative lumbar scoliosis.Middle-aged and aged patients,especially above 60 years old,should be examined actively and be reated earlierly to relieve their pains.更多还原