[1]舒高 翟明玉△ 马鹏飞.许莫氏结节在腰腿痛患者中的分布特点与腰椎间盘退变之间的关系[J].中国中医骨伤科杂志,2017,25(03):10-13.
　SHU Gao ZHAI Mingyu MA Pengfei.Relationship between Distribution Characteristics of Schmorl's Nodesand Degeneration of Lumbar Intervertebral Disc in Patientswith Lumbocrural Pain[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(03):10-13.
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许莫氏结节在腰腿痛患者中的分布特点与腰椎间盘退变之间的关系()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年03期
页码:
10-13
栏目:
临床研究
出版日期:
2017-03-08

文章信息/Info

Title:
Relationship between Distribution Characteristics of Schmorl's Nodes and Degeneration of Lumbar Intervertebral Disc in Patients with Lumbocrural Pain
文章编号:
1005-0205(2017)03-0010-04
作者:
舒高1 翟明玉2△ 马鹏飞2
1.广州中医药大学(广州,510000)
2.广州中医药大学附属深圳平乐骨伤科医院
△.通信作者 E-mail:Zmyspine999@163.com
Author(s):
SHU Gao1 ZHAI Mingyu1△ MA Pengfei1
1.Shenzhen Pingle Orthopedics Hospital, Affiliated to Guangzhou University of Traditional Chinese Medicine, Shenzhen 518000, Guangdong China.
关键词:
许莫氏结节;  腰椎退变Pfirrmann分级;  MRI
Keywords:
Schmorl's nodes;  Pfirrmann classification;  MRI
分类号:
R681.5
文献标志码:
A
摘要:
目的:研究许莫氏结节在腰椎间盘退变患者脊柱椎体中的分布特点及影响因素,分析许莫氏结节与腰椎间盘退变之间的相关性。方法:收集2015年1月年至2015年5月因腰椎间盘退变引起腰腿痛在本院门诊行腰椎MRI检查的824例患者,用Pfirrmann分级对其腰椎退变程度分别进行分级,统计分析许莫氏结节在腰椎上的分布特点及与性别、年龄、身高、体质量等因素的关系,评价许莫氏结节的发生与腰椎间盘退变程度分级之间的相关性。结果:824例患者中231例发生许莫氏结节,431个腰椎终板发生许莫氏结节; 许莫氏结节在腰椎间盘退变中发生率为28.03%; 许莫氏结节的产生与体重、身高、体质量指数等无明确相关性(P>0.05),但男性患者的发生率高于女性(P<0.05),随着年龄的增长其发生率呈上升的趋势,许莫氏结节及累及终板情况与腰椎退变的Pfirrmann分级具有密切相关性(P<0.05)。结论:许莫氏结节发生与患者的性别、年龄、腰椎退变分级有密切关系,且许莫氏结节的发生加速腰椎间盘退变。
Abstract:
Objective:To evaluate the relationship between the distribution characteristics and influence factors of Schmorl's nodes(SN)and the degeneration of lumbar intervertebral disc in patients with lumbar intervertebral disc degeneration.Methods: From January 2015 to May 2015, 824 patients suffering from low back pain caused by lumbar intervertebral disc degeneration were examined by lumbar MRI in our hospital. The degree of lumbar degeneration was graded by Pfirrmann classification. The distribution characteristics of SN in lumbar and their relationship with gender, age, height, weight and other factors were statistically analyzed. The correlation between the occurrence of SN and the degree of lumbar disc degeneration were evaluated. Results:Among 824 patients, 231 cases and 431 lumbar endplates were involved with SN. The incidence rate of SN in lumbar intervertebral disc degeneration was 28.03%. And there was no significant correlation between the incidence of SN with weight, height, body mass index and so on(P>0.05), while the incidence rate of male patients was higher than that of female(P<0.05), and the incidence rate increased with the growth of age(P<0.05). There was a close correlation between SN, the extent of endplates involvement and the Pfirrmann classification of lumbar degeneration(P<0.05). Conclusion:The occurrence of SN was closely related to patients' gender, age and lumbar degeneration grading, and the occurrence of SN accelerated the degree of lumbar disc degeneration.

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更新日期/Last Update: 2017-03-15