腰痛椎间盘高度与Pfirrmann退变分级的关系  

Relationship between intervertebral disc height and Pfirrmann grade for degeneration in low back pain

作　　者：汪红亮[1] 周捷 周涛[1] 李健[1] 查本义 戚轩 WANG Hong-liang;ZHOU Jie;ZHOU Tao;LI Jian;ZHA Ben-yi;QI Xuan(People's Hospital of Moanshan City,Moonshan 243000,China;Maan-shan Clinical College,Anhui Medical Unirersiry,Maanshan 243000 China)

机构地区：[1]马鞍山市人民医院,安徽马鞍山243000 [2]安徽医科大学马鞍山临床学院,安徽马鞍山243000

出　　处：《中国矫形外科杂志》2023年第9期859-861,共3页Orthopedic Journal of China

基　　金：2021年安徽省重点研究与开发项目(编号:202104j07020060);2022年度马鞍山市科技计划项目(编号:YL-2022-3)。

摘　　要：[目的]探讨腰痛患者椎间盘高度与椎间盘退变程度的关系。[方法]回顾性分析2021年1月-2022年6月于本院脊柱外科就诊的151例腰痛患者的腰椎MRI资料,测量椎间盘高度,采用Pfirrmann标准对椎间盘退变程度分级,使用Spearman秩相关分析椎间隙高度与Pfirrmann的相关性。[结果]151例患者影像椎间隙高度由低至高依次为L_(1~2)、L_(5)~S_(1)、L_(2~3)、L_(4~5)、L_(3~4),差异有统计学意义[(9.4±0.6)mm,(10.4±1.5)mm,(10.6±0.8)mm,(11.8±0.8)mm,(11.8±0.8)mm,P<0.05];椎间隙Pfirrmann退变分级由轻至重依次为L_(1-2)、L_(2~3)、L_(3~4),L_(5)~S_(1)、L_(4~5),差异有统计学意义(P<0.05)。L_(1-2)至L_(5)~S_(1)的椎间隙高度均与其Pfirrmann退变程度分级呈显著负相关(r=-0.576,r=-0.578,r=-0.411,r=-0.409,r=-0.828,P<0.001)。[结论]椎间盘高度可作为腰椎间盘退行性变程度的简易评价指标,具有一定临床参考价值。[Objective]To investigate the relationship between the intervertebral disc height and the Pfirrmann classification for intervertebral disc degeneration in low back pain.[Methods]A retrospective study was conducted on the lumbar MRI data of 151 patients who visited the Department of Spinal Surgery of our hospital for low back pain from January 2021 to June 2022.The intervertebral disc height was measured,and the degree of intervertebral disc degeneration were assessed by using Pfirrmann criteria.Spearman rank correlation was used to search the correlation between intervertebral space height and Pfirrmann grade.[Results]The intervertebral disc height of the 151 patients was ranked down-up as L_(1-2),L_(5)~S_(1),L_(2-3),L_(4-5) and L_(3-4),which was statistically significant[(9.4+0.6)mm,(10.4±1.5)mm,(10.6±0.8)mm,(11.8±0.8)mm,(11.8+0.8)mm,P<0.05].The Pfirrmann grade for intervertebral disc degeneration was ranked mild-severe as L_(1-2),L_(2-3),L_(3-4),L_(5)~S_(1),L_(4-5),with statistically significant difference among the levels(P<0.05).All the intervertebral disc heights from L_(1-2) to L_(5)~S_(1) were negatively correlated with the extents of degeneration in term of Pfirrmann grade significantly(r=-0.576,r=-0.578,r=-0.411,r=-0.409,r=-0.828,P<0.001).[Conclusion]The intervertebral disc height might be used as a simple parameter to evaluate the degree of lumbar intervertebral disc degeneration,which has certain clinical reference value.

关 键 词：腰痛 椎间盘退变 椎间盘高度 Pfirrmann退变分级 

分 类 号：R681.57[医药卫生—骨科学]