腰部多肌退化对腰部上部椎间盘的影响
Bingwen Wang1, Lifei Xu2, Peng Teng3
1Department of Orthopedics, National Regional Medical Center, Dezhou People's Hospital, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, China.
Frontiers in surgery
|November 27, 2024
概括
腰部多肌 (MF) 退化与腰部上部椎间板 (ULDH) 有关. 在MF中脂肪透增加与ULDH患者的腰部疼痛严重程度相关,这表明MF退化是关键指标.
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.
- 脊柱外科手术 脊柱外科手术
背景情况:
- 上腰椎间盘 (ULDH) 是腰部疼痛 (LBP) 的重要原因之一.
- 多肌 (MF) 退化在ULDH病原发生中的作用需要进一步研究.
研究的目的:
- 调查腰部多肌 (MF) 退化和上腰椎间盘 (ULDH) 之间的关联.
- 识别与ULDH和LBP严重程度相关的MF退化成像指标.
主要方法:
- 从93名ULDH患者和111名对照患者的3.0T MRI T2轴图像的回顾性分析.
- 倾向得分匹配 (PSM) 用于创建65个匹配的对.
- 评估了MF截面面积,脂肪透和磁盘参数;与LBP的视觉模拟尺度 (VAS) 相对应;用于预测建模的后勤回归和ROC分析.
主要成果:
- 在ULDH患者和对照人群之间发现了MF脂肪透和横截面积的显著差异 (P < 0.001).
- 在VAS得分和MF退行指标之间观察到正相关性 (P <0.05).
- 在L1/2,L2/3的总脂肪透截面面积 (TFCSA) 和L3/4的相对psoas主要肌肉截面面积 (rPMCSA) 被确定为ULDH的关键预测指标.
结论:
- 腰部MF退化与ULDH的发生有显著的相关性.
- 较大的MF脂肪透与ULDH患者的LBP严重程度增加有关.
- TFCSA是预测ULDH风险的潜在指标.
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