基于磁共振成像研究的不同症状的人群中腰椎间盘的患病率
Bo-Lin Sun1, Yu Zhang1, Ning Zhang2
1Department of Orthopaedic Surgery, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, PR China; Jiangxi Provincial Key Laboratory of Spine and Spinal Cord Disease, Nanchang 330006, PR China.
概括
腰椎间盘 (LDH) 影响了超过一半的腰部疼痛患者,辐射腿部症状患者的患病率更高. 这些患者也显示出他们病情的外科手术干预率增加.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 神经外科 神经外科
背景情况:
- 腰椎间盘 (LDH) 是一种普遍的疾病,特别是在老年人群中.
- 了解不同症状组的LDH患病率对于有效的患者管理至关重要.
- 磁共振成像 (MRI) 是识别LDH的关键诊断工具.
研究的目的:
- 为了确定不同症状的门诊患者群体中LDH的患病率.
- 分析LDH的特征,分布和治疗策略.
- 为了比较症状组之间的LDH率和治疗途径.
主要方法:
- 从2022年1月至2022年12月接受腰椎MRI的8161名患者的回顾性分析.
- 根据症状对患者进行分类:仅腰部疼痛,腰部疼痛带下肢症状,仅下肢症状.
- 对LDH患病率,人口统计数据,受影响的脊柱水平和手术治疗率的分析.
主要成果:
- 总体而言,LDH患病率为55.1% (4,496/8,161).
- 腰部疼痛和下肢症状患者的LDH患病率 (82.1%) 和手术率 (19.8%) 较高.
- 在中年时,LDH的患病率达到顶峰,男性 (58.8%) 比女性 (52.4%) 高. 最受影响的是L4/5和L5/S1.
结论:
- 根据症状表现,LDH的患病率有显著差异.
- 腰部疼痛和下肢症状相结合的患者表现出LDH和手术治疗的可能性更高.
- 针对性诊断和治疗方法对于LDH的特定症状呈现是有必要的.
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