摘要
目的：观察退变腰椎间盘的血管浸润现象。方法：对５７例经手术治疗的腰椎间盘突出症患者的退变椎间盘组织及３９个（１３例）正常椎间盘组织做了组织学观察。结果：破裂型突出的血管浸润率（７２．０％）高于凸起型（１８．８％）；病程在一年以内的血管浸润率（５１．２％）高于病程超过一年者（１８．８％），患者年龄与血管浸润无直接关系。结论：腰椎间盘突出的不同病理类型不仅是形态学上的差异，也具有各自不同的组织学基础，破裂型突出的较高血管浸润率很可能与其较严重的临床表现以及较明显的组织退变相关联。血管浸润主要出现在腰椎间盘突出的早期或急性阶段，这不仅是该病变的一种伴随现象。
Objective: To observe the capillary infiltration phenomenon of the degenerated lumbar intervertebral disc. Methods: Intervertebral disc tissue of 57 cases of lumbar intervertebral discprotrussion (LIDP) patients was obtained during surgical intervention and were observed histologically; 39 normal discs (13 cases) were used as controls. Results: The extruded type of LIDP had a higher capillary infiltration rate(72.0% ) than that of the prolapsed LIDP (18.8% ).The infiltration rate of LIDP in those with a shorter course of illness of less than one year(51.2% ) was higher than that of those whose course longer than one year (18.8% ).There was no direct relationship between the patient's age and infiltration rate. Conclusion: The results showed that different types of LIDP were not only exhibit morphological differences, they were also different histologically. The higher capillary infiltration rate of the extruded LIDP might be responsible for its degenerative process and severe clinical findings. Capillary infiltration took place primarily in the early stage or in the acute stage of LIDP. It was not only a concomitant phenomenon, but might play a key initial role in the disc degeneration of LIDP.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1998年第9期535-537,I003,共4页
Chinese Journal of Orthopaedics
