腰椎骨质增生X线影像学研究

X-ray Imaging Study of Lumbar Spine Bone Hyperplasia

目的探讨腰椎骨质增生X线影像学特点。方法收集313例门诊腰部不适患者,均拍摄腰椎正侧位X线平片,对以上X线影像学表现进行回顾性分析。结果腰椎X线检查对腰椎骨质增生的检出具有优势。主要表现为:(1)腰椎曲度改变(含腰椎生理曲度变直,腰椎侧弯)52例;(2)腰椎骨质增生228例;(3)腰椎楔形改变39例;(4)腰椎滑脱28例;(5)腰椎间隙变狭窄27例。结论腰椎X线检查对腰椎骨质增生具有重要意义,X线检查对早期腰椎骨质增生的发现较灵敏,有些无症状性腰椎骨质增生发展为有症状的腰椎骨质增生乃至腰椎进一步病变(腰椎间盘突出)的过程是十分迅速的,早期腰椎X线检查即可发挥其诊断优势。

Objective To study the characteristics of X-ray imaging of lumbar spine bone hyperplasia. Methods 313 cases of lumbar discomfort were collected,all of which were taken on the X-ray plain film of the lumbar spine,and the X-ray images were analyzed retrospectively. Results Lumbar X-ray examination has obvious advantages in the detection of lumbar bone hyperplasia. Main performance ：（1）Lumbar curvature changes（including lumbar physiological curvature becomes straight and lumbar scoliosis）in 52 cases;（2）228 cases of lumbar bone hyperplasia;（3）Lumbar wedge change in 39 cases;（4）Lumbar spondylolisthesis ： report of 28 cases;（5）The interspace of lumbar vertebrae variable stenosis of 27 cases. Conclusion Lumbar X-ray examination of lumbar hyperosteogeny has important significance and X-ray examination of lumbar vertebra hyperosteogeny of the early findings also sensitive,some asymptomatic lumbar bone hyperplasia development for symptomatic lumbar hyperosteogeny and lumbar further lesions（lumbar disc herniation）process is very rapid,early lumbar radiographs can play their diagnostic advantage.