放射性参数与慢性腰部疼痛患者的氏病之间的相关性
1Department of Orthopaedics, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh, India.
Journal of orthopaedic case reports
|November 24, 2025
概括
腰椎位角 (LLA) 和腰椎位角 (LSA) 在患有和没有慢性腰痛 (CLBP) 的人之间没有显著差异. 这些脊柱测量与研究人口的年龄,性别,BMI或疼痛严重程度没有相关性.
科学领域:
- 脊柱生物力学及其与慢性疼痛疾病的关系.
- 在成年人脊柱曲的放射性评估.
背景情况:
- 慢性腰部疼痛 (CLBP) 是一个普遍的全球健康问题,有多因素的原因.
- 临床医师的信念往往将腰部主病的变化与腰部腰部疼痛联系起来,但正常范围和测量实践需要重新评估.
研究的目的:
- 确定和比较腰部主角 (LLA) 和腰部神经角 (LSA) 在患有和没有CLBP的个体中.
- 分析年龄,性别,体重指数 (BMI) 和LLA和LSA的疼痛严重程度之间的潜在相关性.
主要方法:
- 一项前性病例控制研究,涉及200名成年人 (100名患有CLBP,100名对照对应年龄,性别,BMI).
- 获得了腰椎侧立式X射线图.
- 放射科医生对临床状况失明,测量了LLA和LSA.
主要成果:
- 在CLBP组和对照组 (P=0.737) 之间的平均LLA中没有发现显著差异.
- 观察到群体之间的LSA平均值 (P=0.001) 有统计学上显著的差异,CLBP组的值较低.
- 在CLBP组中的特定子组显示LSA (年龄31-40岁,女性,超重) 和LLA (男性) 的微小变化,但这两个角度都与年龄,性别,BMI或疼痛严重程度 (VAS) 没有显著相关.
结论:
- 腰部主角 (LLA) 在患有和没有非特异性CLBP的个体之间似乎没有显著差异.
- 腰椎角 (LSA) 和腰椎角 (LLA) 没有明确的关联,与人口统计因素和疼痛严重程度只有微不足道的弱相关性.
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