训练及非战争军事行动致急性腰部疼痛影像学检查分析及预防  

Imaging examination of acute lumbar pain caused by training and non-war military operations

作　　者：钟立清 李瑞斌[2] 徐寅翀 孟凡龙 

机构地区：[1]解放军123医院放射科,安徽蚌埠233015 [2]南京军区联勤部卫生部,江苏南京210016

出　　处：《东南国防医药》2014年第4期376-378,共3页Military Medical Journal of Southeast China

摘　　要：目的分析驻地官兵在训练及非战争军事行动中腰部损伤致下腰部急性疼痛进行影像学的征象,指导他们进行科学的预防和治疗。方法 2006年6月-2012年1月,在训练及非战争行动中致腰部疼痛863人行CR和(或)DR、CT、MRI检查,根据影像学结果分析产生疼痛的原因。结果本组下腰部急性疼痛863人中,腰椎生理弧度改变791人(91.7%),软组织挫伤343人(39.7%),腰椎骨质损伤36人(4.2%),椎间盘改变307人(35.6%),先天性椎体发育异常151人(17.5%),青年驼背等非创伤疾病21人,强直性脊柱炎5人。CR或DR及CT检查显示36人腰椎体及附件骨折,MRI检查显示骨损伤伴脊髓损伤18人,软组织挫伤186人,影像学检查阴性临床诊断软组织损伤56人。结论训练及非战争行动中致下腰部急性疼痛原因:1肌肉、韧带、皮肤等软组织创伤性疼痛;2椎间盘源性疼痛;3先天性发育及预存其他疾病引发疼痛;4骨质创伤性疼痛。合理利用各项影像学检查至关重要,加强心理辅导,科学施训及把握好新兵入伍体检十分必要。Objective To analyze the formation causes of acute lumbar pain caused by training and non-war military opera-tions,and to guide the military to make a scientific prevention and treatment during the training and non -war military operation.Meth-ods 863 patients with acute lumbar pain caused by training and non-war military operations from June 2006 to January 2012 were ex-amined by CR,DR digital lumbar photography,CT,and MRI examination.The relation between results and causes was analyzed .Results Of all 863 patients with acute lumbar pain caused by training and non-war military operation ,791 cases suffered changes of lumbar physiology curve （91.7%）,343 cases suffered soft tissue injury （39.7%）,36 cases suffered injury on vertebra bone mass （4.2%）, 307 cases suffered changes of intervertebral disc （35.6%）,151 cases suffered congenital vertebra dysplasia （17.5%）,21 cases suf-fered young humpback ,and 5 cases suffered ankylosing spondylitis .There were 36 patients suffered fracture of lumbar and accessories by examination of CR,DR and CT.18 patients suffered bone injury complicated with spinal cord injury examined by MRI .186 patients suffered soft tissues damage .56 patients suffered soft tissues damage without imaging positive results .Conclusion The reasons that leads to acute lumbar pain by training and non-war military operations are as follows：①Soft tissue pain of muscle,ligament,and derma.②Pain of intervertebral disc .③Congenital development abnormal and existing other diseases lead to pain .④Bone trauma leads to pain . It is necessary to take advantage to imaging examination ,strengthen counseling ,scientific training and health examination of recruits.

关 键 词：训练 非战争军事行动 急性腰部疼痛 影像学检查 

分 类 号：R445[医药卫生—影像医学与核医学]