摘要
目的探讨胸腰段脊柱骨折患者双侧椎旁肌横截面积的变化及其临床意义。方法采用回顾性研究方法,选择2016年8月至2017年8月在山东省聊城市第二人民医院就诊经保守治疗的62例T_(12)、L_1压缩性骨折患者为骨折组,以本院同期健康体检者60名为对照组。通过磁共振成像和专用软件测量并比较2组T_(12)、L_1、L_2椎体水平两侧多裂肌和竖脊肌的横截面积。结果骨折组L_2层面右侧多裂肌横截面积小于对照组[(9.0±2.5)mm^2比(11.6±1.8)mm^2],该层面左、右侧竖脊肌横截面积均小于对照组[(10.4±3.6)mm^2比(14.5±5.1)mm^2、(10.5±3.1)mm^2比(15.6±5.5)mm^2],差异均有统计学意义(均P<0.05)。骨折组L_1、L_2层面多裂肌右侧横截面积小于左侧[(9.4±2.2)mm^2比(10.0±2.7)mm^2、(9.0±2.5)mm^2比(11.6±2.7)mm^2],T_(12)、L_1层面竖脊肌右侧横截面积小于左侧[(15.8±1.6)mm^2比(19.9±5.7)mm^2、(14.6±3.5)mm^2比(17.7±3.9)mm^2];对照组仅在T_(12)层面竖脊肌右侧横截面积小于左侧[(16.4±5.6)mm^2比(19.8±5.5)mm^2](均P<0.05)。结论脊柱骨折患者存在椎旁肌萎缩,并且存在双侧不对称的情况,这可能是脊柱骨折的易患因素;对这类患者进行针对性的功能锻炼,对于康复有重要意义。
Objective To explore the clinical significance of cross-sectional area(CSA)of bilateral paravertebral muscles in patients with thoracolumbar spine fracture.Methods Clinical records of 62 patients with non-operative T12or L1spinal compression fracture(fracture group)and 60 healthy volunteers(control group)were retrospectively analyzed between August 2016 and August 2017 in the Second People’s Hospital of Liaocheng,Shandong Province.CSA values of multifidus muscle and erector spine muscle at T12,L1,L2were tested through magnetic resonance imaging.Results In fracture group,CSA of right multifidus muscle at L2was less than that in control group[(9.0±2.5)mm2vs(11.6±1.8)mm2];CSA of left and right erector spinae muscles at L2were less than those in control group[(10.4±3.6)mm2vs(14.5±5.1)mm2,(10.5±3.1)mm2vs(15.6±5.5)mm2](all P<0.05).In fracture group,CSA of right multifidus muscle at L1and L2were less than those of the left[(9.4±2.2)mm2vs(10.0±2.7)mm2,(9.0±2.5)mm2vs(11.6±2.7)mm2];CSA of right erector spine muscle at T12and L1were less than those of the left[(15.8±1.6)mm2vs(19.9±5.7)mm2,(14.6±3.5)mm2vs(17.7±3.9)mm2](all P<0.05).In control group,CSA of right erector spine muscle at T12was less than that of the left[(16.4±5.6)mm2vs(19.8±5.5)mm2](P<0.05).Conclusions Paravertebral muscular atrophy and bilateral asymmetry may be predisposing factors of spinal fracture.Targeted functional training is important for the rehabilitation.
作者
都芳涛
于德国
方继峰
李兴晶
侯耀鹏
李广义
Du Fangtao;Yu Deguo;Fang Jifeng;Li Xingjing;Hou Yaopeng;Li Guangyi(Department of Orthopedics,the Second People's Hospital of Liaocheng,Shandong Province,Liaocheng 252600,China)
出处
《中国医药》
2019年第3期408-411,共4页
China Medicine
基金
山东省卫生和计划生育委员会医药卫生科技发展计划(2017WS644)~~
关键词
脊柱压缩性骨折
多裂肌
竖脊肌
横截面积
Spinal compression fracture
Multifidus muscle
Erector spine muscle
Crosssectional area
