摘要
目的研究仰卧位MRI检测下腰椎小关节积液与退变性腰椎滑脱稳定性的关系。方法临床纳入72例我院2016年4月至2018年6月期间收治的腰椎退变性疾病患者作为研究对象,所有患者均进行仰卧位MRI和侧卧位过屈过伸位X线检查。将其中MRI检查结果显示关节积液量超过1mm的患者作为观察组,MRI检查显示关节积液量不超过1mm或无关节积液的患者作为对照组。所有患者均进行仰卧位腰椎MRIT2加权序列测量腰椎小关节积液,采用侧卧位进行过屈过伸X线扫描评估腰椎稳定性,对比两组患者年龄、性别、腰椎移动度等资料,观察腰椎小关节积液量与腰椎不稳定性的关系。结果观察组滑脱变化以及角度变化均大于对照组,差异具有统计学意义(P<0.05)。对照组腰椎间盘退变分级、关节炎分级、软骨退变分级以及软骨下骨化分级平均秩结果大于观察组,差异具有统计学意义(P<0.05)。通过对观察组33例患者腰椎关节积液量与腰椎滑脱变化值做相关性分析,结果显示腰椎关节积液量与腰椎滑脱变化值呈明显正相关(r=0.767,P<0.05)。结论无积液组患者相对于有积液组患者腰椎稳定性更稳定,退变性腰椎滑脱患者腰椎小关节积液量越多,腰椎移动程度越大。
Objective To Study the relationship between lumbar facet joint effusion and degenerative lumbar spondylolisthesis with supine MRI test.Methods A total of 72 patients with lumbar degenerative disease that was enrolled clinically in our hospital from April 2016 to April 2018 were taken as research objects.All the patients went through the supine MRI and lateral flexion and extension X-ray scanning.The patients with more than 1 mm joint fluid through MRI were taken as the observation group,and the ones with no more than 1 mm joint fluid were selected as the control group.All the patients underwent supine lumbar MRI T2 weighting sequence measurement to exam the lumbar facet joint effusion.Lateral position flexion extension X-ray scan was also executed to assess the lumbar stability.The relationship between the lumbar facet joint fluid volume and the lumbar instability was then analysed by comparing the patients'data,e.g.,age,gender,lumbar mobility,etc.,in both groups.Results The changes of articular detachment and angle of observation group were more than those in control group,the difference was statistically significant(P<0.05).Compared with the control group,the average rank of lumbar disc degeneration grade,arthritis grade,cartilage degeneration grade and subchondral ossification grade were higher than those of the observation group,and the difference was statistically significant(P<0.05).The correlation between the amount of lumbar joint effusion and the value of lumbar spondylolisthesis in 33 patients in the observation group was analyzed.The results showed that there was significant positive correlation between the volume of lumbar joint effusion and the value of lumbar spondylolisthesis(r=0.767,P<0.05).Conclusion The stability of lumbar spine in patients with no effusion is more stable than those patients with effusion,the more in volume of the lumbar facet joint is,the greater the lumbar movement is.
作者
万青松
马刚
李世荣
WAN Qing-song;MA Gang;LI Shi-rong(Department of Radiology,Pangang Group Chengdu Hospital,Panzhihua 617023,Sichuan Province,China)
出处
《中国CT和MRI杂志》
2020年第10期145-147,共3页
Chinese Journal of CT and MRI
基金
贵州省科技合作计划项目(编号:黔科合L H字[2015]7152号)。
关键词
MRI
腰椎
小关节积液
退变性腰椎滑脱
相关性
MRI
Lumbar
Small Articular Effusion
Degenerative Lumbar Spondylolisthesis
Correlation
