中国骨伤2013，Vol.26Issue(2)：102-106,5.DOI:10.3969/j.issn.1003-0034.2013.02.005
骶髂关节紊乱在X线片上的表现形式和临床意义
X-ray characteristics of sacroiliac joint disorders and its clinical significance
摘要
Abstract
Objective :To study the X-ray characteristics of sacroiliac joint disorders and its clinical significance, so as to provide clinical diagnosis basis for Tuina treatment of sacroiliac joint disorder. Methods: From July 2009 to March 2011 ,104 patients with sacroiliac joint disorder were reviewed,including 64 males and 40 females,ranging in age from 18 to 81 years, with an average of (45.39 ± 1.30) years. The duration of the disease ranged from 1 to 144 months,with an average of (12.64 ± 2.19) months. One hundred and four pelvic plain films and 97 lumbar spine lateral films of the patients with sacroiliac joint disorder were taken. On the lateral X-ray of lumbar,the sacral horizontal angles (lumbosacral angle) were measured; and on the X-ray of pelvis, the vertical distance of two side iliac crest (iliac crest difference) ,the distance from lateral border to medial margin of two hips (hip width) ,the clip angle between sacral spin connection and vertical axis were measured, and then the data were analyzed. Results:The mean difference of iliac crest was (10.34±0.73) mm; the mean width difference of hip was (6.73±1.01) mm; and the mean difference of the iliac crest was larger than that of mean difference of hip (P<0.01). The occurrence rate of inequal width of hip was higher(P<0.01). The mean abnormal lumbosacral angle was (7.29 ± 1.86)° ,and the mean angle of sacral crest tilting to left or right was (3.18 ± 0.47) ° ; the mean abnormal lumbosacral angle was larger than that of angle of sacral crest tilting to left or right (P<0.01) ,and the occurrence rate of sacral crest tilting to left or right was higher (P<0.01). Conclusion:Sacroiliac joint disorders may be divided into iliac disorders and sacral disorders. The distance of iliac bone is rotating displacement,including anteroposterior rotation displacement,internal and external rotation displacement. The occurrence rate of internal and external rotation is higher than that of anteroposterior rotation; and the distance of the anteroposterior rotation is larger than that of internal and external rotation. The tilting of sacrum includes forward and backward tilting displacement,left and right tilting displacement;the occurrence rate of left and right tilting is higher, and the angle of the forward and backward tilting is larger.关键词
骶髂关节/生物力学/放射摄影术Key words
Sacroiliac joint/Biomechanics/Radiography引用本文复制引用
师宁宁,沈国权,何水勇,郭汝宝..骶髂关节紊乱在X线片上的表现形式和临床意义[J].中国骨伤,2013,26(2):102-106,5.基金项目
国家自然科学基金(编号:83371158) （编号:83371158）
