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[目的]测量新疆托里县哈萨克族腰椎椎弓根形态及解剖学特点,对比汉族与新疆哈萨克族腰椎椎弓根解剖学特征的差异,为哈萨克族腰椎疾患的手术技巧及手术器械的特异性选择做有效的数据参考。[方法]在本院分别随机抽取病房、门诊患者及健康志愿者汉族60例(男30例,女30例)哈萨克族60例(男30例,女30例),年龄25~55岁。按照性别进行分组,通过CT及三维重建技术测量L_(1~5)椎体的横径和矢状径。所有入选患者经过询问病史排除先天性及遗传性疾病,行X线检查排除腰椎病理性改变。[结果]腰椎椎弓根矢状径与横径指标男性组均大于女性组,差异有统计学意义(P<0.05)。哈萨克族腰椎各径线值明显大于汉族(P<0.05)。[结论]与汉族平均值相比,哈萨克族的腰椎椎弓根横径与矢状径值均明显偏大;因此在目前的腰椎手术过程中,无论是手术方式的选择还是内固定器械的选择都与汉族人有一定差别。
[Objective] To investigate the morphological and anatomic features of the lumbar pedicle of Kazak in Tori, Xinjiang. To compare the anatomic features of the lumbar pedicle anatomy between Kazak nationality in Xinjiang and Xinjiang, and to study the surgical technique and surgical instrument specificity of Kazak lumbar disorders Choose to do a valid data reference. [Methods] Sixty patients (30 males and 30 females) in the Han nationality were selected randomly from 60 wards (30 males and 30 females) from the ward, outpatients and healthy volunteers in our hospital. The ages ranged from 25 to 55 years. Grouping by sex, the transverse and sagittal diameters of L_ (1-5) vertebral bodies were measured by CT and 3D reconstruction techniques. All selected patients were asked to exclude history of congenital and genetic disease, X-ray examination to rule out lumbar pathological changes. [Result] The sagittal diameter and transverse diameter of lumbar pedicle were significantly higher in male group than in female group (P <0.05). Kazak lumbar diameter of each line was significantly greater than Han (P <0.05). [Conclusions] Compared with the average Han nationality, the transverse and sagittal diameters of the lumbar pedicle of Kazak are significantly larger; therefore, in the current lumbar surgery, both the choice of surgical approach and the choice of internal fixation devices There are some differences with the Han people.