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MRI诊断腰椎管狭窄症腰痛的临床价值

The clinical effectiveness of MRI used in diagnosis of low back pain in patients with lumbar spinal stenosis

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【作者】 庄明仇胥斌程栋严伟洪

【Author】 Zhuang Ming;Qiu Xubin;Cheng Dong;Yan Weihong;Department of Orthopaedics,Changzhou First People’s Hospital;

【通讯作者】 仇胥斌;

【机构】 常州市第一人民医院骨科

【摘要】 目的:探讨MRI诊断腰椎管狭窄症腰痛的临床价值方法:2014年5月—2016年5月收治腰椎管狭窄症患者60例,以腰痛与否分为对照组(无腰痛,24例)和实验组(腰痛,36例),比较两组间椎间盘后缘HIZ改变和Modic改变情况结果:腰痛组HIZ改变和Modic改变的发生率为72.2,36.9%,均高于对照组(P=0.001,0.021)。结论:MRI检查中HIZ和Modic改变可以较好的诊断腰椎管狭窄症腰痛,为临床治疗提供较好的依据。

【Abstract】 Objective To detective the effectiveness of MRI used in diagnosis of low back pain in patients with lumbar spinal stenosis. Methods May. 2011-May. 2016, 60 patients with lumbar spinal stenosis were treated. Of them, 36 with low back pain and 24 with no pain. The image expressions of HIZ and Modic were recorded. Results The incidence rate of HIZ and Modic in low back pain group were 72.2, 36.9%, higher than the control group(P=0.001, 0.021). Conclusion The image expressions of HIZ and Modic are better for diagnosis of low back pain in patients with lumbar spinal stenosis.

【关键词】 MRI腰椎管狭窄症腰痛
【Key words】 MRILumbar spinal stenosisLow back pain
  • 【文献出处】 影像研究与医学应用 ,Journal of Imaging Research and Medical Applications , 编辑部邮箱 ,2018年24期
  • 【分类号】R681.5;R445.2
  • 【被引频次】3
  • 【下载频次】139
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