天津医药

天津医药 ›› 2014, Vol. 42 ›› Issue (12): 1216-1218.doi: 10.3969/j.issn.0253-9896.2014.12.018

• 临床研究 • 上一篇    下一篇

神经根沉降征在腰椎滑脱症和腰椎间盘突出症中的差异

田鹏1,付鑫1,孙晓雷2,邓树才3,马信龙4   

  1. 1. 天津市天津医院
    2. 天津市天津医院骨研所
    3. 天津医院
    4. 天津医科大学总医院骨科，天津市天津医院骨研所
  • 收稿日期:2014-08-07 修回日期:2014-09-04 出版日期:2014-12-15 发布日期:2014-12-15
  • 通讯作者: 田鹏 E-mail:tianpeng007@foxmail.com
  • 基金资助:
    柚皮苷对骨质疏松骨折大鼠骨髓间充质干细胞成骨分化及内皮祖细胞促血管化的实验研究

The difference of the nerve root sedimentation sign on MRI in patients between lumbar spondylolisthesis and lumbar disc herniation

TIAN Peng 1,4,FU Xin 2,SUN Xiaolei3,， DENG Shucai 1,4,MA Xinlong5   

  1. 1. Tianjin Hospital， Tianjin 300211， China
    2. Department of Joint Surgery, Tianjin Hospital;
    3. Institute of Orthopaedics, Tianjin Hospital
    4. Tianjin Hospital， Tianjin 300211， China
    5. General Hospital of Tianjin Medical University, Tianjin 300052, China;Department of Joint Surgery, Tianjin Hospital
  • Received:2014-08-07 Revised:2014-09-04 Published:2014-12-15 Online:2014-12-15
  • Contact: TIAN Peng E-mail:tianpeng007@foxmail.com

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摘要：

【摘要】 目的 评价神经根沉降征在腰椎滑脱症（LS）和腰椎间盘突出症（LDH）患者中的表现， 并比较其在二者中的差异。 方法 收集天津市天津医院脊柱外科 2012 年 7 月—2014 年 3 月行手术治疗的腰椎退行脊柱病患者资料 151 例， 分为 LS 组 48 例和 LDH 组 103 例。 采用 JOA 评分评估 2 组患者术前临床表现， 比较 2 组患者神经根沉降征阳性率， 分析 JOA 评分与神经根沉降征的关系。 结果 LS 组和 LDH 患者在 JOA 评分差异无统计学意义（15.83±3.57 vs 16.76±3.10， t=1.624， P=0.107）。 LS 组神经根沉降征阳性 39 例（81.25%）， 而 LDH 组 65 例（63.11%），差异有统计学意义（χ2=5.028， P=0.031）。 LS 组中， 神经根沉降征阳性者 JOA 评分低于阴性者（15.33±3.50 vs 18.00± 3.20， t=2.092， P=0.042）； 而 LDH 组中 ， 神经根沉降征阳性和阴性者 JOA 评分差异无统计学意义（16.40±3.13 vs 17.37±2.99， t=1.539， P=0.127）。 结论 神经根沉降征阳性也见于腰椎间盘突出症中， 但在临床表现更严重的腰椎滑脱症患者中更易出现。

关键词: 椎间盘移位, 腰椎滑脱, 腰椎间盘突出, 神经根沉降征, JOA评分

Abstract:

[Abstract] Objective To evaluate and compare the presence of the nerve root sedimentation sign in patients with lumbar spondylolisthesis (LS) and lumbar disc herniation(LDH). Methods One hundred and fifty-one patients with degen? erative lumbar spinal disease treated by surgery from July 2012 to March 2014 were reviewed retrospectively in Tianjin Hos? pital. All the patients were divided into two groups: LS group (48 cases) and LDH group (103 cases). The clinical outcomes were evaluated by Japanese Orthopedic Association (JOA). The probability of positive sedimentation sign was compared be? tween LS group and LDH group. Correlation between the JOA score and nerve root sedimentation sign were analysed in two groups. Results There was no statistical difference in JOA score between LS group and LDH group (15.83±3.57 vs 16.76± 3.10, t=1.624, P=0.107). A positive sedimentation sign was identified in 39 patients in the LS group (81.25%) but in 65 pa? tients in the LDH group (63.11%). The difference between LS group and LDH group was statistically significant(χ2=5.028, P=0.031). In LS group, JOA scores of patients with positive nerve root sedimentation sign were lower than those of patients with negative nerve root sedimentation sign（15.33±3.50 vs 18.00±3.20, t=2.092， P=0.042）; but in LDH group, there was no statistical difference in JOA scores of patients between positive nerve root sedimentation sign and negative nerve root sedi? mentation sign (16.40±3.13 vs 17.37±2.99, t=1.539, P=0.127). Conclusion A positive sedimentation sign also occurs in pa? tients with LDH, but positive nerve root sedimentation sign are more likely to appear in patients with lumbar spondylolisthe? sis who have worse clinical symptoms

Key words: intervertebral disk displacement, lumbar spondylolisthesis, lumbar disc herniation, nerve root sedimentation sign, JOA score