發(fā)布時(shí)間：2018-06-13 18:09

  本文選題：退變性腰椎滑脫 + 下腰痛　； 參考：《寧夏醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的研究退變性腰椎滑脫中椎小關(guān)節(jié)退變分級(jí)及椎旁肌MRI信號(hào)改變與下腰痛相關(guān)性,為早期下腰痛做出初步的病因診斷及為下一步的治療方案提供指導(dǎo)意義。方法選取寧夏醫(yī)科大學(xué)總醫(yī)院脊柱骨科2014年12月-2016年12月期間住院的腰椎退變性滑脫患者80例為臨床資料,分別統(tǒng)計(jì)出患者年齡、性別及椎小關(guān)節(jié)退變程度,用統(tǒng)計(jì)學(xué)分析二者的相關(guān)性,其次研究椎小關(guān)節(jié)退變分級(jí)與下腰痛之間的關(guān)系;通過腰椎核磁共振成像來測(cè)量下腰痛患者的椎旁肌橫截面積、椎間盤面積,并計(jì)算出二者的比值,研究其與下腰痛之間的關(guān)系。結(jié)果患者的性別和椎小關(guān)節(jié)退變分級(jí)之間沒有關(guān)系(t=0.387,P=0.680);椎小關(guān)節(jié)退變分級(jí)與年齡有關(guān)系(r=0.664,P0.001);80例患者的腰椎小關(guān)節(jié)存在不同等級(jí)的退變,其中,3級(jí)20例,2級(jí)31例,1級(jí)29例;腰痛患者疼痛評(píng)分(視覺模擬評(píng)分)結(jié)果顯示:29例1級(jí)患者中,24例分值3分,5例在4~6分;31例2級(jí)患者中,26例分值在4~6分,5例3分;20例3級(jí)患者中,16例分值在7~10分,4例在4~6分。表明患者的關(guān)節(jié)突關(guān)節(jié)退變分級(jí)與下腰痛之間具有明確聯(lián)系(r=0.879,P0.001);患者椎旁肌的橫截面積與椎間盤面積比值的大小與下腰痛之間具有一定的關(guān)系。結(jié)論退變性腰椎滑脫中椎小關(guān)節(jié)退變分級(jí)及椎旁肌MRI信號(hào)改變與下腰痛之間存在相關(guān)性。
[Abstract]:Objective to study the correlation between the grade of degenerative facet joint degeneration and MRI signal of paraspinal muscle in degenerative lumbar spondylolisthesis. Methods 80 cases of lumbar degenerative spondylolisthesis hospitalized in Department of Spinal Orthopedics, General Hospital of Ningxia Medical University from December 2014 to December 2016 were selected as clinical data. The relationship between lumbar facet joint degeneration and low back pain was studied by statistical analysis, and the cross sectional area of paravertebral muscle and intervertebral disc area were measured by lumbar magnetic resonance imaging. The ratio of the two was calculated and the relationship between them and low back pain was studied. Results there was no correlation between the sex of the patients and the grade of facet joint degeneration. There was no correlation between the sex of the patients and the grade of degenerative vertebral facet joints. There was no correlation between the grade of degeneration of the facet joints and the age of the patients, and there were different grades of degeneration of the lumbar facet joints in 80 patients, including 20 cases of grade 3 and 31 cases of grade 1 and grade 2. The results of pain score (visual analogue score) of 29 patients with low back pain showed that among 29 patients with grade 1, 24 patients had a score of 3 scores, 5 patients with grade 2 patients with grade 4 to 6 patients, 26 patients with a score of 26 patients with a score of 4 to 6 patients with a score of 5 patients with grade 3 and 20 patients with grade 3 patients. The scores of 16 patients were between 710 and 10 and 4 patients with grade 2 patients had a score of 4 to 6 points. The results showed that there was a clear relationship between the degenerative grade of articular facet and lower back pain, and there was a certain relationship between the cross sectional area of paravertebral muscle and the ratio of intervertebral disc area and lower back pain. Conclusion in degenerative lumbar spondylolisthesis there is a correlation between degenerative grade of facet joint and MRI signal of paravertebral muscle and lower back pain.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R681.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前8條

1 Marcus Middendorp;Konstantinos Kollias;Hanns Ackermann;Annina Splettst??er;Thomas J Vogl;M Fawad Khan;Adel Maataoui;;Does therapist's attitude affect clinical outcome of lumbar facet joint injections?[J];World Journal of Radiology;2016年06期

2 蘇楊;王江s，

本文編號(hào)：2014936