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腰椎前狭窄症的评估:诊断价值和临床相关性:系统性审查

P Shanmuga Sundaram¹, P A Prem Regis², Or Jeff Walter Rajadurai¹

¹Department of Orthopaedics, Madha Medical College and Research Institute, Chennai, Tamil Nadu, India.

Journal of orthopaedic case reports

|March 12, 2026

概括

腰椎前狭窄 (LFS) 显示成像和疼痛之间存在中度相关性. 仅MRI发现不足以诊断,需要进行联合的临床和功能评估,以有效管理LFS.

科学领域:

脊柱成像和诊断工作
在退行性脊柱疾病中的临床相关性

背景情况:

腰椎骨狭窄症 (LFS) 是根茎病变和腰部疼痛的常见原因.
在LFS中,放射学发现与临床症状之间的相关性尚未得到充分证实.
磁共振成像 (MRI) 经常被使用,但可能不会准确地反映症状的严重程度.

研究的目的:

系统地审查LFS成像模式的诊断价值.
评估LFS中放射学发现和临床表现之间的相关性强度.
评估成像在指导LFS管理中的实用性.

主要方法:

在遵守PRISMA指南的基础上进行系统审查.
在PubMed,Science Direct和Cochrane图书馆搜索到2025年5月.
包括RCT,队列和观察性研究,通过MRI或CT评估LFS,并报告成像与临床结果的相关性.
评估偏见风险和证据的确定性.

主要成果:

分析了12项涉及1133名患者的研究.
在成像严重程度和疼痛强度之间发现了中等相关性 (r=0.3-0.6).
前面积<40-50mm2和沉积标志显示出诊断价值.
在MRI分级和残疾或行走能力之间观察到的不良相关性.
对于神经根压缩,观察者间可靠性是中等的.

结论:

在LFS中的成像发现与临床严重程度的相关性仅适度.
磁力共振成像解释需要与功能和临床评估进行整合.
多维诊断方法对于最佳的LFS患者管理至关重要.

关键词:

腰部疼痛腰部疼痛腰部疼痛电脑计算的X射线成像磁共振成像技术的使用根基病变是一种根基病变.脊柱狭窄症脊柱狭窄症脊柱狭窄症断层扫描 (tomography) 是一个非常重要的技术.

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