腰痛与胸腰筋膜影像学征像相关性的研究进展  

Research progress of imaging presentation of thoracolumbar fascia related to back pain

作　　者：宋明欣 秦健 肖强 SONG Ming-xin;QINJian;XIAO Qiang(Department of Imageology,The Second Affiliated Hospital,Shandong First Medical University,Tai'an 271000,China)

机构地区：[1]山东第一医科大学第二附属医院医学影像科,山东泰安271000

出　　处：《中国矫形外科杂志》2023年第9期815-818,共4页Orthopedic Journal of China

基　　金：山东第一医科大学学术提升计划项目(编号:2019QL017)。

摘　　要：胸腰筋膜(thoracolumbar fascia, TLF)将脊椎旁肌肉与后腹壁肌肉分开,TLF的所有层组成一个复合体,在维持邻近胸腰节段,尤其是对下腰椎及骶髂关节的稳定有尤为重要的作用。腰椎疾病往往伴发TLF的改变,目前,并未引起临床的广泛重视,影像学评价也未形成统一的标准。用影像学准确识别并研究TLF的形态改变及功能变化,对于腰背痛患者临床治疗与预防而言有重要意义。本文就下腰痛患者的TLF影像学表现及影像学不足进行了总结,并对新技术进行了展望,以期提高对TLF影像学表现的认识。The thoracolumbar fascia(TLF)separates the paravertebral muscles from the posterior abdominal wall muscles,and all layers of the thoracolumbar fascia form a complex that is particularly important in maintaining stability adjacent to the thoracolumbar segment,especially the lower lumbar and sacroiliac joints.Lumbar spine diseases are often accompanied by changes in the TLF.However,the presentations have not attracted widespread clinical attention at present,while imaging evaluation has not formed a unified standard.Accurate identification and study of morphological and functional changes of the TLF by imaging is very critical for the clinical treatment and prevention of low back pain.Therefore,the author summarizes the imaging performance and deficiencies of TLF in patients with lower back pain,and looks forward to new technologies in order to improve our understanding of TLF imaging performance.

关 键 词：胸腰筋膜 腰背痛 影像学检查 

分 类 号：R681.5[医药卫生—骨科学]