腰椎肋骨的患病率和特征:一个包含解剖学和临床考虑的元分析
Maksymilian Osiowski1,2, Aleksander Osiowski1,2, Maciej Preinl1,2
1Faculty of Medicine, Jagiellonian University Medical College, sw. Anny 12, Krakow, 31-008, Poland.
Surgical and radiologic anatomy : SRA
|October 8, 2024
概括
腰椎肋骨 (LR) 是一种常见的脊柱变异,在2.1%的个体中发现. 意识到这些解剖异常对于准确诊断至关重要,并防止腰部疼痛患者的手术错误.
科学领域:
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
- 脊柱外科手术 脊柱外科手术
背景情况:
- 腰椎肋骨 (LR) 是一种罕见的脊柱异常.
- 与宫肋骨相比,LR的理解较少.
- 这一元分析提供了LR的流行率和特征数据.
研究的目的:
- 为了确定腰部肋骨的综合患病率.
- 分析腰部肋骨的地理分布.
- 描述腰部肋骨的关键特征.
主要方法:
- 在相关数据库中进行系统的文献搜索.
- 随机效应模型用于聚合流行率估计 (PPE).
- PRISMA指导方针和 AQUA 工具用于质量评估.
主要成果:
- 聚合LR的流行率为2.1% (95%CI:1.0-4.6).
- 患病率因成像方式而异:CT (1.6%),X射线 (2.1%).
- 65.4%的LR是双边的,在欧洲最常见 (2.8%).
结论:
- 腰椎肋骨是一种比以前认为的更常见的脊柱变异.
- 在患有非特异性腰部疼痛的患者中考虑LR.
- LR的存在可能会误导外科医生,可能导致错误水平的手术.
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