腰椎骨密度与大型肩袖撕裂的相关性分析  

Correlation between lumbar spine bone mineral density and large rotator cuff tears

作　　者：黄磊[1] 钱胤华 钱平康[1] 吴子英[2] 徐锋[1] 汪青[1] HUANG Lei;QIAN Yinhua;QIAN Pingkang;WU Ziying;XU Feng;WANG Qing(Department of Orthopedics,Kunshan Hospital of Traditional Chinese Medicine,Kunshan,Jiangsu,215300;Department of Sports Medicine,Shanghai Huashan Hospital Affiliated to Fudan University,Shanghai,200040)

机构地区：[1]江苏省昆山市中医医院骨科,江苏昆山215300 [2]复旦大学附属上海华山医院运动医学科,上海200040

出　　处：《实用临床医药杂志》2024年第21期111-115,126,共6页Journal of Clinical Medicine in Practice

基　　金：苏州市临床重点病种诊疗技术专项项目(LCZX202127);昆山高层次医学人才计划项目(昆卫[2019]6号);昆山市中医药科技发展专项(KZYY2202)。

摘　　要：目的探讨腰椎骨密度与大型肩袖撕裂发生的相关性。方法选取2018年1月—2023年10月在昆山市中医医院关节外科住院行肩关节镜手术治疗的患者109例,并按照肩袖撕裂的程度分为大型肩袖撕裂组(n=27)和小型肩袖撕裂组(n=82)。收集患者基本信息,采用多因素Logistics回归分析探讨腰椎骨密度与大型肩袖撕裂发生的相关性。结果大型肩袖撕裂组年龄、外伤史比率高于小型肩袖撕裂组,总胆固醇、白蛋白、血镁、全髋关节骨密度及腰椎骨密度低于小型肩袖撕裂组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果表明,腰椎骨密度与大型肩袖撕裂发生有关。大型肩袖撕裂患病率在腰椎骨密度Q1(<0.870 g/cm^(2))、Q2(0.870~<0.991 g/cm^(2))、Q3(0.991~1.137 g/cm^(2))、Q4(>1.137 g/cm^(2))这4个四分位数区间依次为48.15%、29.63%、18.52%、3.70%,呈逐渐下降趋势,差异有统计学意义(P<0.05)。结论腰椎骨密度与大型肩袖撕裂具有相关性,腰椎骨密度越低,大型肩袖撕裂发生的风险越高。Objective To explore the correlation between lumbar spine bone mineral density and the occurrence of large rotator cuff tears.Methods A total of 109 patients with arthroscopic shoulder surgery in the Department of Arthroplasty Surgery in Kunshan Hospital of Traditional Chinese Medicine from January 2018 to October 2023 were selected and divided into large rotator cuff tear group(n=27)and small rotator cuff tear group(n=82)according to the severity of the rotator cuff tears.General materials of patients were collected,and multivariate Logistic regression analysis was used to investigate the correlation between lumbar spine bone mineral density and the occurrence of large rotator cuff tears.Results The large rotator cuff tear group had significant higher age and higher proportion of patients with a history of trauma compared to the small rotator cuff tear group(P<0.05);additionally,the levels of total cholesterol,albumin,serum magnesium,total hip bone mineral density,and lumbar spine bone mineral density were significantly lower in the large rotator cuff tear group(P<0.05).The results of multivariate Logistic regression analysis indicated that lumbar spine bone mineral density was associated with the occurrence of large rotator cuff tears.The prevalence of large rotator cuff tears across the four quartile intervals of lumbar spine bone mineral density named as Q 1(<0.870 g/cm^(2)),Q 2(0.870~<0.991 g/cm^(2)),Q 3(0.991~1.137 g/cm^(2)),and Q 4(>1.137 g/cm^(2))were 48.15%,29.63%,18.52%and 3.70%respectively,showing a gradual decreasing trend with significant differences(P<0.05).Conclusion There is a correlation between lumbar spine bone mineral density and large rotator cuff tears.The lower the bone density of the lumbar spine is,the higher the risk of large rotator cuff tears will be.

关 键 词：肩袖撕裂 肌腱病 骨骼 腰椎骨密度 骨质疏松症 

分 类 号：R336[医药卫生—人体生理学] R681.5[医药卫生—基础医学] R323.4