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压缩超负荷测试与直腿升高测试在检测腰椎间盘的诊断准确性:一个MRI验证的横截面研究

Malini Madhesh¹, Charu Eapen², Parthasarathy Eappakkam Kumaraswamy³

¹Department of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|July 22, 2025

概括

压缩过载测试 (COLT) 比直腿升高测试 (SLRT) 更有效用于诊断腰椎间椎间盘 (IVDH). COLT显示了更高的准确性和与MRI结果的相关性.

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.
诊断成像诊断成像诊断成像

背景情况:

腰椎间椎间盘 (IVDH) 是腰部疼痛的一个常见原因.
准确的诊断对于有效的治疗计划至关重要.
临床试验通常用于帮助诊断,但它们的比较性能各不相同.

研究的目的:

为了比较压缩过载试验 (COLT) 与直腿升高试验 (SLRT) 的诊断性能,用于检测腰部IVDH.
评估COLT和SLRT结果与磁共振成像 (MRI) 发现的相关性.

主要方法:

包括53名通过MRI确认的腰部IVDH的参与者.
COLT和SLRT是由一个失明的研究人员进行的.
诊断性能指标包括灵敏度,特异性和接收器操作特征 (ROC) 曲线分析.

主要成果:

COLT显示高灵敏度 (92%) 和诊断准确度 (90.57%),与MRI中度一致 (κ=0.399) 和正相关性 (Φ=0.428).
SLRT显示与MRI没有一致性 (κ=-0.008),也没有相关性 (Φ=-0.0274),曲线下面面积 (AUC) 值为0.473.3.
磁力共振成像 (MRI) 发现L4-L5 (47.5%) 和圆盘凸起 (54.5%) 是主要发现.

结论:

与SLRT相比,COLT对腰部IVDH具有更高的诊断效用.
COLT的结果与MRI的发现有很好的相关性,支持其临床应用.

关键词:

椎间盘间的变位是因为椎间盘的变位.腰部疼痛腰部疼痛腰部疼痛磁共振成像磁共振成像磁共振成像腰部和 sacral 的区域.在ROC曲线上,ROC曲线敏感性和特异性敏感性和特异性

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