【摘要】 目的探讨腰骶部移行椎与腰椎间盘突出症的关系。方法将因非椎间盘突出症原因而行腰椎X线片检查的104例患者设为对照组;经手术证实腰椎间盘突出的91例患者设为腰椎间盘突出症组。比较两组患者的腰椎正位X线片,统计两组患者腰骶部移行椎发生率的差异及与移行椎与腰椎间盘突出部位的关系。结果对照组腰骶部移行椎发生率为18.3%,腰椎间盘突出症组为52.7%,两组间差异有统计学意义。腰椎间盘突出症组中合并移行椎者椎间盘突出发生于移行椎上一间隙者为58.3%;单侧移行椎椎间盘突出发生在移行椎畸形同侧者占75.9%,其中在移行椎上一间隙者占81.8%;发生在移行椎畸形对侧者占17.2%,其中在其下一间隙者占80.0%。结论腰骶部移行椎与腰椎间盘突出症有着密切关系,是诱发腰椎间盘突出症的重要危险因素之一。更多还原

【Abstract】 Objective To investigate the relationship between lumbosacral transitional vertebra and the lumbar disc herniation (LDH).Methods The X-ray photographs of lumbar vertebra were retrospectively studied of patients with and without LDH confirmed by surgery, furthermore, the differential incidence of LDH between the two groups and the relationship between transitional vertebra and the position of disc herniation were statistically analysized.Results The incidence of lumbosacral transitional vertebra was 18.3% in the control group, 52.7% in the LDH group, the difference was statistically significant.In the group with single lumbosacral transitional vertebra, there was 75.9% of LDH occurred on the same side of the transitional vertebra, 81.8% of which occurred at the upper one disc of the transitional vertebra; whereas 17.2% of LDH on the opposite side of the transitional vertebra, 80.0% of which occurred at the lower one disc of the transitional vertebra.Conclusions There is a closer relationship between lumbosacral transitional vertebra and the LDH, and the lumbosacral transitional vertebra is one of the important factors in the emergence of LDH.更多还原