腰椎管狭窄症患者X线、MRI腰椎参数与预后的关系

doi:10.7517/issn.1674-0475.220305

摘要/Abstract

摘要： 本研究探讨X线腰椎矢状位及磁共振成像（MRI）腰椎参数与腰椎管狭窄症病程及术后快速康复护理预后的关系。选取腰椎管狭窄症患者85例，根据病程将患者分为A组（病程>10年）和B组（病程≤10年），比较X线、MRI参数差异。A组和B组脊柱-骨盆垂直轴（SVA）、胸椎后凸角（TK）、胸腰连接角（TLJA）、骨盆倾斜角（PT）、骨盆入射角-胸椎前凸角（PI-LL）、胸椎前凸角（LL）、椎管面积、硬膜囊面积、椎管面积/椎体面积、硬膜囊面积/椎管面积、侧隐窝矢状径、椎间孔矢状径和椎间孔面积比较差异有统计学意义（P<0.05）。治疗无效和有效患者X线、MRI参数比较差异有统计学意义（P<0.05）。腰椎管狭窄症患者X线、MRI腰椎参数与病程年限有关，同时与患者术后快速康复护理疗效有关，值得进一步研究。

关键词: X线, 磁共振成像, 腰椎管狭窄症, 病程, 治疗疗效

Abstract: This study investigated the relationship between X-ray sagittal lumbar spine and magnetic resonance imaging (MRI) lumbar spine parameters with the course of lumbar spinal stenosis (LSS) and postoperative fast recovery nursing prognosis. 85 patients with lumbar spinal stenosis were selected, according to the course of disease, the patients were divided into group A (course of disease > 10 years) and group B (course of disease ≤ 10 years), the differences of X-ray and MRI parameters between the two groups were compared. The spine pelvis vertical axis (SVA), thoracic kyphosis angle (TK), thoracolumbar junction angle (TLJA), pelvic inclination angle (PT), pelvic incidence angle-thoracic lordosis angle (PL-LL), thoracic lordosis angle (LL), spinal canal area, dural sac area, spinal canal area/vertebral body area, dural sac area/spinal canal area, sagittal diameter of lateral recess, sagittal diameter of intervertebral foramen and intervertebral foramen area in group A and group B were statistically significant (P<0.05). The X-ray, MRI parameter in patients with ineffective and effective treatment were statistically significant (P<0.05). The X-ray and MRI parameters of lumbar spine in patients with lumbar spinal stenosis are related to the course of disease and the curative effect of postoperative rapid rehabilitation nursing, which is worthy of further study.

Key words: X-ray, magnetic resonance imaging, lumbar spinal stenosis, course of disease, therapeutic effect

李玲玉, 刘煊文. 腰椎管狭窄症患者X线、MRI腰椎参数与预后的关系[J]. 影像科学与光化学, 2022, 40(5): 1108-1112.

LI Lingyu, LIU Xuanwen. The Relationship Between X-ray, MRI Lumbar Spine Parameters and Prognosis in Patients with Lumbar Spinal Stenosis[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1108-1112.

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