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[1]雷騰飛,杜國慶,李正言,等.基于“筋出槽,骨錯(cuò)縫”理論探討腰骶部結(jié)構(gòu)的影像表現(xiàn)特點(diǎn)與非特異性腰痛關(guān)系的臨床研究[J].中醫(yī)正骨,2024,36(08):27-30,51.
　LEI Tengfei,DU Guoqing,LI Zhengyan,et al.Exploring the relationship between imaging features of lumbosacral structure and non-specific low back pain based on the theory of tendon off-position and mild malposition of bone and joint[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(08):27-30,51.
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基于“筋出槽,骨錯(cuò)縫”理論探討腰骶部結(jié)構(gòu)的影像表現(xiàn)特點(diǎn)與非特異性腰痛關(guān)系的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期數(shù):
2024年08期
頁碼:
27-30,51
欄目:
臨床研究
出版日期:
2024-08-20

文章信息/Info

Title:
Exploring the relationship between imaging features of lumbosacral structure and non-specific low back pain based on the theory of tendon off-position and mild malposition of bone and joint
作者:
雷騰飛1; 杜國慶2; 李正言2; 陳博2; 王輝昊2; 胡零三2; 詹紅生2
1.深圳平樂骨傷科醫(yī)院/深圳市坪山區(qū)中醫(yī)院,廣東 深圳 518010; 2.上海中醫(yī)藥大學(xué)附屬曙光醫(yī)院,上海 201203
Author(s):
LEI Tengfei1; DU Guoqing2; LI Zhengyan2; CHEN Bo2; WANG Huihao2; HU Lingsan2; ZHAN Hongsheng2
1.Shenzhen Pingle Orthopedic Hospital(Shenzhen Pingshan District Hospital of Traditional Chinese medicine),Shen-zhen 518010,Guangdong,China 2.Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China
關(guān)鍵詞:
腰痛;  腰骶部;  筋出槽;  骨錯(cuò)縫;  影像表現(xiàn)特點(diǎn);  放射攝影術(shù);  體層攝影術(shù); X線計(jì)算機(jī)
摘要:
目的:基于“筋出槽,骨錯(cuò)縫”理論探討腰骶部結(jié)構(gòu)的影像表現(xiàn)特點(diǎn)與非特異性腰痛的關(guān)系。方法:納入60例非特異性腰痛患者(腰痛組)和43例健康志愿者(無腰痛組),拍攝受試者腰椎正側(cè)位X線片和CT片。于腰椎正側(cè)位X線片上分別測量腰骶角、冠狀面橫骶徑、冠狀面橫髂徑,于腰椎橫斷位CT片上測量橫斷面橫髂徑; 并分別計(jì)算冠狀面橫骶徑、冠狀面橫髂徑、橫斷面橫髂徑的相對值[(右側(cè)徑值-左側(cè)徑值)/右側(cè)徑值×100%]。于腰椎橫斷位CT片上,采用切線平行法判斷L5椎體是否旋轉(zhuǎn)。比較2組受試者的腰骶角、L5椎體旋轉(zhuǎn)發(fā)生率,以及冠狀面橫骶徑、冠狀面橫髂徑、橫斷面橫髂徑的相對值。將冠狀面橫骶徑、冠狀面橫髂徑、橫斷面橫髂徑相對值<-5%定義為左側(cè)相對偏長,將相對值>5%定義為右側(cè)相對偏長,將-5%≤相對值≤5%定義為兩側(cè)基本對稱。將腰痛組患者按照左側(cè)疼痛、右側(cè)疼痛及雙側(cè)疼痛劃分,比較不同疼痛側(cè)別患者的腰骶部影像學(xué)指標(biāo)的對稱性。結(jié)果:腰痛組患者腰骶角小于無腰痛組(t=2.458,P=0.016),冠狀面橫髂徑相對值大于無腰痛組(Z=-2.288,P=0.022),L5椎體旋轉(zhuǎn)發(fā)生率高于無腰痛組(χ2=5.589,P=0.018); 2組受試者冠狀面橫骶徑相對值、橫斷面橫髂徑相對值的組間比較,差異均無統(tǒng)計(jì)學(xué)意義(Z=-1.508,P=0.132; Z=-1.817,P=0.069)。腰痛組不同疼痛側(cè)別患者的橫斷面橫髂徑對稱性比較,差異有統(tǒng)計(jì)學(xué)意義(χ2=9.309,P=0.011),冠狀面橫骶徑、冠狀面橫髂徑對稱性的比較,差異無統(tǒng)計(jì)學(xué)意義(χ2=0.512,P=0.473; χ2=5.367,P=0.372)。結(jié)論:腰骶角變小、L5椎體旋轉(zhuǎn)、冠狀面橫髂徑相對值增大與非特異性腰痛有關(guān),且橫斷面橫髂徑對稱性與腰痛側(cè)別有關(guān)。這些影像表現(xiàn)特點(diǎn)可能是非特異性腰痛患者腰骶部結(jié)構(gòu)“筋出槽,骨錯(cuò)縫”的影像學(xué)證據(jù)。

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備注/Memo

備注/Memo:
基金項(xiàng)目:國家自然科學(xué)基金項(xiàng)目(81473702); 上海市臨床重點(diǎn)專科建設(shè)項(xiàng)目(shslczdzk03901); 上海市2021高水平地方高效創(chuàng)新團(tuán)隊(duì)建設(shè)項(xiàng)目(滬教委人〔2022〕3號)
通訊作者:詹紅生 E-mail:[email protected]
更新日期/Last Update: 1900-01-01