腰椎前狭窄与背部疼痛和腿部疼痛有关:基于人口的队列队列的流行病学证据
Shuchen Ding1,2, Lunhao Chen1, Chudi Fu2
1Department of Orthopaedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, 79# Qingchun Road, Hangzhou, Zhejiang, 310003, China.
Neuroradiology
|June 13, 2024
概括
腰椎骨狭窄症 (LFS) 在成年人中很常见,与年龄有关. 在MRI上显著的LFS是经历背痛和辐射腿痛的独立风险因素.
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
- 流行病学 流行病学
背景情况:
- 腰椎前狭窄症 (LFS) 是一种影响脊柱通道的疾病.
- 了解其患病率和与疼痛的关联对于临床管理至关重要.
研究的目的:
- 在磁共振 (MR) 图像上描述腰椎前狭窄 (LFS).
- 在中国人口中调查LFS与背部疼痛和辐射腿部疼痛之间的关联.
主要方法:
- 使用杭州腰椎研究数据进行的横截面研究.
- 用李尺度 (2-3级被认为是实质性的) 分析了MRI图像的LFS.
- 调查问卷评估了人口统计,生活方式和疼痛症状.
主要成果:
- 644名受试者中有141人 (21.9%) 患有LFS,随着年龄的增长而增加.
- 实质性的LFS与背部疼痛的存在,强度和终身残疾疼痛有显著的关联.
- 实质性的LFS与腿部疼痛有很强的关联 (OR=14.27),对辐射腿部疼痛具有很高的敏感性和特异性.
结论:
- 实质性LFS是MR图像上常见的,与年龄相关的退行性发现.
- 腰痛是背部疼痛和腿部疼痛的独立危险因素.
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