浙江医学Issue(10)：847-849,853,4.
单侧腰痛患者腰椎多裂肌萎缩相关因素研究
Factors related to lumbar multifidus muscle atrophy in patients with unilateral low back pain
摘要
Abstract
Objective To analyze the related factors to multifidus muscle atrophy in patients with unilateral low back pain (LBP). Methods Sixty- two patients with unilateral LBP underwent magnetic resonance imaging (MRI) examination, and the medical history, visual analogue scale(VAS) and Oswestry disability index(ODI) were reviewed retrospectively. Results The his-tory of unilateral LBP was 16.6 ±8.3 months (3~42months), VAS score was 5.6 ±1.2, and ODI was 61.2 ±9.6%. The lean cross- sectional area (CSA) of multifidus muscle was 731.2±192.6mm2 at the ipsilateral side of LBP, significantly lower than that at the contralateral side (862.5±228.1mm2, P<0.001). The T2 signal intensity ratio of multifidus muscle was 2.02±0.21at the ipsi-lateral side of LBP, significantly higher than that at the contralateral side (1.75±0.15, P<0.001). Compared to contralateral multi-fidus muscle, the reduction of lean CSA was 15.3±4.9%, and the increase of T2 signal intensity ratio was 13.3±6.8%at the LBP side, and both were significantly correlated with the medical history, VAS score and ODI value. Conclusion The length of medi-cal history, VAS score and ODI were factors related to multifidus muscle atrophy in patients with LBP.关键词
腰痛/多裂肌/萎缩Key words
Low back pain/Multifidus muscle/Atrophy引用本文复制引用
钭大雄,王君瑞,陈绍东,陶涛..单侧腰痛患者腰椎多裂肌萎缩相关因素研究[J].浙江医学,2014,(10):847-849,853,4.
