健康成人腰椎椎间隙高度的解剖学分型及临床意义

doi:10.6040/j.issn.1671-7554.0.2019.130

摘要/Abstract

摘要： 目的观察健康成年人腰椎椎间隙高度变化及对于不同高度的解剖学分型。方法选取行脊柱全长片及腰椎磁共振志愿者169例,测量L_1/2、L_2/3、L_3/4、L_4/5、L₅/S₁椎间隙高度(H1~H5)及L₁~L₅椎体高度,分析男女志愿者各椎间隙绝对高度及相对高度(该椎间隙高度/上位椎体高度,H1/L1~H5/L₅),以及各类型椎间隙高度人群数量分布。结果椎间隙高度及相对椎间隙高度均随结构位置的降低逐渐增加,在L_4/5达到最大值,相邻椎间隙高度差异有统计学意义(P<0.05)。而同一组椎间隙高度中,男女间差异无统计学意义(P>0.05),L_4/5椎间隙测量中有11.83%志愿者(20/169例)有高椎间隙的表现。在H1/L₁组中有66.67%男性志愿者属于相对低间隙组(56/84例),在H2/L₂~H5/L₅组中有75.15%(127/169例)、73.96%(125/169例)、71.01%(120/169例)、65.68%(111/169例)相对椎间隙高度比在0.4~0.5之间,而在H3/L₃、H4/L₄、H5/L₅组中有8.28%(17/169例)、23.67%(40/169例)、8.28%(17/169例)属于相对高间隙组。结论 L_4/5椎间隙高度在健康成人腰椎椎间隙高度中最高,健康成人腰椎椎间隙高度差异大,对椎间隙高度的解剖学分型具有一定临床意义。

关键词: 健康成人, 椎间隙高度, 高椎间隙, 解剖学分型

Abstract: Objective To observe the changes of lumbar intervertebral space heights in healthy adults and the anatomical classification of different heights. Methods A total of 169 volunteers who received full-length spine and lumbar magnetic resonance in our hospital were involved. The L_1/2, L_2/3, L_3/4, L_4/5, L₅/S₁ intervertebral space heights(H1-H5)and L₁-L₅ vertebral height were measured to analyze the absolute height and relative height of each intervertebral space in male and female volunteers(the height of the intervertebral space/upper vertebral height, H1/L₁-H5/L₅)and the distribution of various types of intervertebral space. Results Both of the height and relative height of intervertebral space increased gradually with the decrease of the structural position at L_4/5, and the difference between the heights of adjacent intervertebral space was statistically significant (P<0.05). There was no significant difference between male and female in the same intervertebral space (P>0.05). In the L_4/5 intervertebral space measurement, 11.83% volunteers(20/169)had high intervertebral space. In the H1/L₁ intervertebral space measurement, 66.67% male volunteers had relatively low space(56/84). In the H2/L₂-H5/L₅ intervertebral space measurement, 75.15%(127/169), 73.96% 山东大学学报 (医学版)57卷5期 -陈辰,等.健康成人腰椎椎间隙高度的解剖学分型及临床意义 \=-(125/169), 71.01%(120/169), 65.68%(111/169)volunteers had relative intervertebral space height ratio of 0.4-0.5. In the H3/L₃, H4/L₄, and H5/L₅ intervertebral space measurement, 8.28%(17/169), 23.67%(40/169), 8.28%(17/169)volunteers had relatively high space. Conclusion The L_4/5 intervertebral space height is the highest in the lumbar intervertebral space of healthy adults. There is significant difference in the height of lumbar intervertebral space among healthy adults. The anatomical classification of intervertebral space height has clinical significance.

Key words: Healthy adult, Intervertebral space height, High intervertebral space, Anatomical classification

中图分类号:

R681.5

陈辰,张凯,张锋,赵杰. 健康成人腰椎椎间隙高度的解剖学分型及临床意义[J]. 山东大学学报 (医学版), 2019, 57(5): 43-47.

CHEN Chen, ZHANG Kai, ZHANG Feng, ZHAO Jie. Anatomical classification and clinical significance of lumbar intervertebral space height in healthy adults[J]. Journal of Shandong University (Health Sciences), 2019, 57(5): 43-47.

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