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负重位与平卧位磁共振成像对腰椎前凸的对比研究

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目的 比较负重位磁共振成像(magnetic resonance imaging,MRI)与平卧位 MRI 评估腰椎前凸的价值.方法 回顾分析 24 例腰痛患者分别行负重位和平卧位 MRI 检查,测量腰椎 Cobb's 角、四线Cobb's 角、腰骶角、腰椎高度、腰椎前凸距离、腰椎前凸角度等参数,配对样本 t 检验或 Wilcoxon 符号秩和检验比较差异.结果 24 例中,腰椎负重位 MRI 与腰椎平卧位 MRI 的腰椎 Cobb's 角[(31.05±13.65)° vs.(27.95±11.81)°]、腰椎前凸距离[(2.32±0.75)cm vs.(1.96±0.75)cm]、腰椎前凸角度[(34.58±11.90)° vs.(30.51±11.14)°]、腰椎高度[(16.66±1.34)cm vs.(16.80±1.08)cm]之间差异有统计学意义(腰椎 Cobb's角,t=2.647,P=0.014;腰椎前凸距离,t=8.141,P<0.001;腰椎前凸角度,t=4.178,P<0.001,腰椎高度 Z=2.015,P=0.044);四线 Cobb's 角、腰骶角之间差异无统计学意义(四线 Cobb's 角,t=0.656,P=0.519;腰骶角,t=-1.881,P=0.073).结论 腰椎负重位 MRI对腰椎前凸的评估具有重要的参考价值.
A comparative study on lumbar lordosis by weight-bearing and recumbent magnetic resonance imaging
Objective To compare the differences of lumbar lordosis assessed on weight-bearing magnetic resonance imaging(MRI)and recumbent MRI images.Methods Both weight-bearing MRI and recumbent MRI were employed for 24 subjects.The MRI images were retrospectively reviewed.Six parameters including Cobb's angle,four-line Cobb's angle,sacral angle,lumbar height,lumbar lordosis distance and lumbar lordosis angle were measured.The differences were compared by paired samplest test or Wilcoxon signed-rank test.Results There were significant differences for 24 subjects in lumbar Cobb's angle[(31.05±13.65)° vs.(27.95±11.81)°,t=2.647,P=0.014],lumbar lordosis distance[(2.32±0.75)cm vs.(1.96±0.75)cm,t=8.141,P<0.001],lumbar lordosis angle[(34.58±11.90)° vs.(30.51±11.14)°,t=4.178,P<0.001],and lumbar height(Z=2.015,P=0.044)between weight-bearing MRI and recumbent MRI.No difference in four-line Cobb's angle(t=0.656,P=0.519)and sacral angle(t=-1.881,P=0.073)was demonstrated.Conclusions The importance of weight-bearing imaging in evaluating the lumbar lordosis is validated.

Magnetic resonance imagingLumbar vertebraeLordosisWeight-bearingSupine position

李凯、李新彤、过哲、徐黎、冯强强、程晓光

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100035 北京,首都医科大学附属北京积水潭医院放射科

磁共振成像 腰椎 脊柱前凸 负重 仰卧位

北京市卫生健康委员会第五批北京市属医学科研院所公益发展改革试点项目北京市医院管理中心临床医学发展专项

京医研 2023-8ZYLX202107

2024

中国骨与关节杂志
中国医疗保健国际交流促进会,北京中科康辰骨关节伤病研究所

中国骨与关节杂志

CSTPCD
影响因子:0.665
ISSN:2095-252X
年,卷(期):2024.13(8)
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