腰椎重力线在腰椎间盘病变患者中的变化分析及腰腿痛影像的相关性研究  

Analysis of Changes in Lumbar Spine Gravity Line in Patients with Lumbar Disc Disease and its Correlation with Low Back and Leg Pain Imaging

作　　者：潘广松 谢承佳 覃振党 韦岑 谢尚勐 谢其德 马城 PAN Guang-song;XIE Cheng-jia;QIN Zhen-dang;WEI Cen;XIE Shang-meng;XIE Qi-de;MA Cheng(Laibin People’s Hospital,Guangxi 546100,China)

机构地区：[1]来宾市人民医院,广西546100

出　　处：《影像技术》2021年第1期46-49,共4页Image Technology

摘　　要：目的:探讨腰椎重力线在腰椎间盘病变患者中的变化分析及腰腿痛影像的相关性。方法:选择2018年4月-2020年1月腰椎间盘病变及腰腿痛患者224例为研究对象,所有患者入院后均进行腰椎正侧位DR检查及腰椎CT或MRI检查,完成患者腰椎重力线测定;采用视觉模拟疼痛(VAS)量表对患者疼痛进行评估;采用SPSSPearson相关性分析对腰椎间盘膨出、突出及腰椎滑脱患者腰椎重力线与腰腿痛进行相关性分析。结果:224例腰椎间盘膨出、突出及腰椎滑脱患者均完成腰椎重力线测定,腰椎重力线平均值为(0.24±0.04);重力线分级排在前两位的分别为重力线III级和重力线II级,分别占39.73%和33.04%;所有患者均完成腰腿痛评估,VAS评分为(5.39±0.69)分,SPSSPearson相关性分析结果表明:腰椎间盘病变腰椎重力线分级与腰腿痛VAS评分呈正相关性(P<0.05)。结论:腰椎重力线改变能参与腰椎间盘病变的发生、发展,且与腰腿痛存在相关性。加强腰椎重力线测定能指导临床诊疗,减轻患者疼痛与不适。Objective:To investigate changes in lumbar spine gravity line in patients with lumbar disc disease and its correlation with low back and leg pain imaging.Methods:224 patients with lumbar disc disease and lumbocrural pain in April 2018 and January 2020 were selected as subjects.After admission,all patients were given lumbar forward and lateral DR examination and lumbar CT or MRI examination,and the measurement of lumbar gravity line was completed.Visual analogue pain scale(VAS)was used to evaluate the pain of patients.SPSSPearson correlation analysis was used to analyze the correlation between lumbar gravity line and lumbar leg pain in patients with lumbar disc bulge,protrusion and lumbar spondylolisthesis.Results:All the 224 patients with lumbar intervertebral disc bulge,protrusion and lumbar spondylolisthesis completed the measurement of the lumbar gravity line,and the mean value of the lumbar gravity line was(0.24±0.04).The top two gravity line grades are gravity line III and gravity line II,accounting for 39.73%and 33.04%,respectively.All patients completed the low back and leg pain assessment,VAS score was(5.39±0.69),SPSSPearson correlation analysis showed that there was a positive correlation between lumbar gravity line grading and VAS score of lumbar leg pain(P<0.05).Conclusion:The change of lumbar gravimetric line can participate in the occurrence and development of lumbar intervertebral disc disease,and is correlated with lumbo-leg pain.Strengthening the measurement of lumbar gravimetric line can guide clinical diagnosis and treatment,and relieve the pain and discomfort of patients.

关 键 词：腰椎重力线改变 腰椎间盘病变 腰腿痛 相关性 

分 类 号：R816.8[医药卫生—放射医学]