重新考虑高强度区域:它在椎间盘退化和腰部疼痛中的作用
Stone Sima1, Xiaolong Chen2,3, Kyle Sheldrick1
1Spine Labs, St George and Sutherland Clinical School, University of New South Wales, Sydney, NSW, Australia.
概括
高强度区域 (HIZ) 在腰椎中很常见,与椎间盘退化有关. HIZ与腰部疼痛 (LBP) 的几率增加有关,这表明其临床意义.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 脊柱成像技术 脊柱成像技术
背景情况:
- 腰椎间盘 (IVD) 中的高强度区域 (HIZ) 与退行性变化和腰部疼痛 (LBP) 有关.
- 需要进一步澄清HIZ患病率和特定的腰部退行性参数之间的关系.
研究的目的:
- 为了确定腰椎中HIZ的患病率.
- 分析MRI和X射线上HIZ和退行性参数之间的独立关系.
- 评估HIZ与LBP存在之间的关联.
主要方法:
- 对136名患者的MRI,X射线和放射学报告进行了回顾性审查.
- 确定了57名HIZ患者,形成了病例组.
- 与没有HIZ的79名患者进行比较,形成对照组.
主要成果:
- HIZ在41.9%的患者和11.0%的腰部IVD中流行.
- 增加HIZ的几率与磁盘凸起/突起 (6.4x),核退化 (3.0x) 和更大的IVD角度 (1.1x) 相关.
- 与对照组相比,患有HIZ的患者患上LBP的几率高出3.0倍.
结论:
- 在研究队列中,HIZ患病率为41.9%.
- 核退化,磁盘凸起/突起和IVD角的增加独立地与HIZ相关.
- HIZ可能是一个症状和临床上有意义的诊断工具来评估LBP.
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