作为腰椎狭窄症 (LSS) 的临床特征,下泌尿道症状 (LUTS):用腰椎形态分析分析进行前性研究
Harun Hodžić1, Hakija Bečulić2,3, Emir Begagić3
1Department of Surgery, School of Medicine, University of Zenica, Bosnia and Herzegovina.
概括
由于腰椎狭窄症 (LSS) 而出现下泌尿道症状 (LUTS) 的患者会出现更严重的问题. 低修改的托尔格-帕夫洛夫比率 (mTPR) 预测了不良结果和需要手术修复的需要.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- 下尿道症状 (LUTS) 可以显著影响生活质量.
- 腰椎脊柱狭窄症 (LSS) 是一种常见的疾病,可能导致LUTS.
- 了解LSS形态测量和LUTS之间的关系对于诊断和治疗至关重要.
研究的目的:
- 调查LTS患者的临床和形态特征.
- 在LSS患者中确定LUTS和手术结果的成像预测因子.
主要方法:
- 进行了运动,感觉,膀和肠道功能的临床评估.
- 功能性残疾使用奥斯威斯特残疾指数 (ODI) 和瑞士脊柱狭窄症问卷 (SSSQ) 来衡量.
- 形态测量分析包括磁盘直径的MRI测量,持续袋直径,以及修改的托尔格-帕夫洛夫比率 (mTPR).
主要成果:
- 患有LSS的LUTS患者表现出神经性听,背部疼痛和下肢疼痛的更高患病率.
- LUTS患者的ODI和SSSQ分数显著更高,表明功能障碍更大.
- 较低的mTPR与LUTS显著相关,预测了手术修复,运动缺陷和手术后持续的LUTS.
结论:
- 在LSS患者中,LUTS与更严重的症状和较差的临床结果有关.
- 修改的托尔格-帕夫洛夫比率 (mTPR) 是一个有价值的成像生物标志物,用于预测LSS患者的不良结果.
- 一个mTPR值≤0.34可能表明更高的不良临床结果的风险和需要手术干预.
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