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降低的psoas肌肉指数与成人脊柱形症的甲状腺功能低下有关

Milan Sivakumar¹, Srivats Srinivasan¹, Sahil Chilukuri¹

¹Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

World neurosurgery

|November 22, 2025

概括

甲状腺功能低下症与成人脊柱形患者的psoas肌肉质量减少有关,这表明了sarcopenic变化. 这强调了在这个人群中进行手术前甲状腺查的必要性.

科学领域:

脊柱外科手术脊柱外科手术
内分泌学在内分泌学.
老年病的医生老年病的医生

背景情况:

甲状腺功能低下会影响新陈代谢和肌肉功能,可能导致肉症.
在成年脊柱形患者中,甲状腺功能低下症和psoas肌肉指数 (PMI) 之间的关系尚不清楚.

研究的目的:

为了研究甲状腺功能低下症,psoas肌肉指数 (PMI) 和手术参数之间的关联,在接受ASD纠正手术的患者中.

主要方法:

对235名ASD患者进行≥4级融合 (2016-2021) 的回顾性审查.
收集的数据包括甲状腺功能低下状态,人口统计,手术细节,以及L3和L4.4的PMI.
使用回归分析和全球数据库比较来评估流行率和预测因素.

主要成果:

甲状腺功能低下症在ASD患者中 (14%) 比对照组 (8%) 更为普遍,并且随着手术复杂性的增加而增加.
甲状腺功能低下的患者在L3和L4.4的PMI显著降低.
较低的PMI独立地与甲状腺功能低下有关,甲状腺功能低下与较少的化水平有关.

结论:

甲状腺功能低下症独立地与ASD患者的psoas肌肉质量减少有关,这表明了sarcopenic变化.
甲状腺功能障碍在ASD患者的术前评估中需要更多的注意,因为其患病率和外科影响.

关键词:

成年人的脊柱形甲状腺功能低下症甲状腺功能低下症肌肌肉指数 (Psoas muscle index) 是一个指数.萨尔科佩尼亚是什么意思萨尔科佩尼亚脊柱外科手术脊柱外科手术甲状腺功能障碍甲状腺功能障碍

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