摘要
目的 对北京社区中老年人群腰椎滑脱(lumbar spondylolisthesis,LS)的患病情况进行流行病学统计分析。方法 回顾分析 5452 例(男 3039 例、女 2413 例)北京社区中老年脊柱侧位 CT 定位像,采用 Meyerding 分度法对 LS 做出诊断,统计 LS 的患病率,按性别、年龄、椎体累及情况分组后进行数据分析。结果 北京社区中老年人群 LS 总患病率为 17.1%,男性为 17.5%,女性为 16.7%,两者差异无统计学意义(P=0.392)。腰椎前滑脱患病率女性明显高于男性 (9.9% vs.6.2%) (P=0.000);腰椎后滑脱患病率男性明显高于女性(12.4% vs.8.1%) (P=0.000);涉及一个以上椎体滑脱患病率男性明显高于女性(3.4% vs.2.4%)(P=0.030)。男性 LS 最好发于 L_(5)椎体,前滑脱好发于 L_(5),后滑脱好发于 L_(3),后滑脱比前滑脱多见;女性 LS 最好发于 L_(4)椎体,前滑脱好发于 L_(4),后滑脱好发于 L_(3),前滑脱比后滑脱多见。腰椎前滑脱主要为 Ⅰ 度;少数为 Ⅱ 度,主要发生在 L_(5);无 Ⅲ 度及以上滑脱;腰椎后滑脱只有 Ⅰ 度。总体社区居民、男性 LS 患病率在 50~69 岁之间随年龄增长而升高,70 岁以上降低;女性 LS 患病率随年龄增长而升高。结论 女性更易患腰椎前滑脱,主要表现在 L_(4);男性更易患腰椎后滑脱,主要表现在 L_(3);男性比女性更容易发生一个以上椎体滑脱。LS 患病率整体上随年龄增长而升高。
Objective To conduct a statistical analysis on the prevalence of lumbar spondylolisthesis (LS)among middle-aged and elderly residents in Beijing community.Methods Lateral spine CT images of 5452 cases (3039 males,2413 females) in Beijing community were retrospectively analyzed.LS was diagnosed using the Meyerding classification.The gender,age,and vertebral body involvement were analyzed after grouping.Results The prevalence of LS among middle-aged and elderly residents in Beijing community was 17.1%.No significant differences in gender were noted (male 17.5%,female 16.7%).The incidence of anterior spondylolisthesis was higher in females than in males (9.9% vs.6.2%),whereas the incidence of retrolisthesis was higher in males than in females (12.4% vs.8.1%).The occurrence of spondylolisthesis involving more than one vertebra was higher in males than in females (3.4% vs.2.4%).For males,LS was most commonly seen at L_(5)(anterolisthesis at L_(5),retrolisthesis at L_(3)),whereas retrolisthesis was more common than anterolisthesis;for females,LS was most commonly seen at L_(4)(anterolisthesis at L_(4),retrolisthesis at L_(3)),whereas anterolisthesis was more common than retrolisthesis.Meyerding grade Ⅰ was seen in the majority;grade Ⅱ was seen in minority,mainly occurring at L_(5);grade Ⅲ or above was not observed;all retrolisthesis was evaluated as Meyerding grade Ⅰ.The prevalence of LS increased with age from50 to 69 years,however,it decreased when the age went over 70 years in males.Conclusions L_(4)anterolisthesis is more common in females,while L_(3)retrolisthesis in males.Males are more likely to have spondylolisthesis involving more than one vertebra than females.Overall,the prevalence of LS increases with the age.
作者
张天宇
张天一
张勇
王玲
赵伟
张海松
崔克帅
程晓光
ZHANG Tian-yu;ZHANG Tian-yi;ZHANG Yong;WANG Ling;ZHAO Wei;ZHANG Hai-song;CUI Ke-shuai;CHENG Xiao-guang(Department of Radiology,Beijing Jishuitan Hospital,Beijing,100035,China)
出处
《中国骨与关节杂志》
CAS
2022年第3期174-180,共7页
Chinese Journal of Bone and Joint
基金
北京市医院管理中心临床医学发展专项经费(ZYLX202107)。
关键词
患病率
脊椎滑脱
腰椎
流行病学研究
横断面研究
Prevalence
Spondylolysis
Lumbar vertebrae
Epidemiologic studies
Cross-sectional studies
作者简介
通讯作者:程晓光,Email:xiao65@263.net。
