战士腰椎椎弓峡部断裂的调查与分析

Investigation and analysis of spondylolyisis of arch in recruit

目的探讨腰椎椎弓峡部断裂在部队新兵中的的发病率。方法随机从2003年入伍的集训新兵中抽取100名男兵,年龄18～21岁,平均18.7岁,集训时间为100天,分别在训练前和训练后由专科医师检查,行X光正、侧位和双斜位片拍摄,统一观测,统计学处理。结果训练开始前的入伍新兵,双侧L5椎弓峡部断裂5例,发病率为5%,呈Ⅰ°滑脱1例。经100天训练结束时,双侧L5椎弓峡部断裂8例,发病率增加至8%,呈Ⅰ°以内滑脱3例。结论训练强度和训练时间与腰椎椎弓峡部断裂发病率成正比。建议加强入伍新兵脊柱体检,常规加拍腰椎正、侧位和双斜位片检查项目和早期手术治疗。

Objective To investigate the incidence rate of spondylolyisis of arch in unit recruit. Methods Random to draw recruit of assemble for training of to join the army in 2003 year,there were 100 boye recruit,18-21 years old,the average age of the patients was 18.7 years,to assemble for training time 100 day.to part by special course of study examination, lumbar vertebrae examination item of right,lateral and two slope position in the traning befor and posterior,under uniform observation and statistical treating. Results The X-ray examination shou that the L5 spondylolyisis of two side were 5 cases,incidence rate were 5% ,one patients was classified as degree Ⅰ lesion.L5 Spondylolyisis of two side were 8 cases, incidence rate gain was 8%, three patients were classified as degree Ⅰ lesion. Conslusion The results suggested that the intensity of and the time of training of incidence rate of spondylolyisis of arch wes direct ratio.suggestion augmentation join the army new recruit Spine examination,routine adding lumbar vertebrae examination item of right,lateral and two slope position and In early period of operation.