多排螺旋CT在腰部肌群形态学参数测量中的应用及其临床意义

doi:10.13481/j.1671-587x.20150636

吉林大学学报(医学版) ›› 2015, Vol. 41 ›› Issue (06): 1284-1287.doi: 10.13481/j.1671-587x.20150636

多排螺旋CT在腰部肌群形态学参数测量中的应用及其临床意义

付卫光¹, 刘硕², 丁军², 安俐莹²

1. 吉林省人民医院放射科, 吉林长春 130021;
2. 吉林大学中日联谊医院放射科, 吉林长春 130033

收稿日期:2015-02-04 发布日期:2016-01-11
通讯作者: 丁军,教授,硕士研究生导师(Tel:0431-84997901,E-mail:dingjun@jlu.edu.cn);安俐莹,医师(Tel:0431-84997938,E-mail:anly12@mails.jlu.edu.cn) E-mail:dingjun@jlu.edu.cn;anly12@mails.jlu.edu.cn
作者简介:付卫光(1984-),男,吉林省长春市人,医师,医学硕士,主要从事医学影像诊断学方面的研究。
基金资助:
吉林省科技厅基础处科研项目资助课题(200905170)

Application of multi-slice CT in measurement of morphological parameters of waist muscle and its clinical significance

FU Weiguang¹, LIU Shuo², DING Jun², AN Liying²

1. Department of Radiology, Jilin Provincial People's Hospital, Changchun 130021, China;
2. Department of Radiology, China-Japan Union Hospital, Jilin University, Changchun 130033, China

Received:2015-02-04 Published:2016-01-11

摘要/Abstract

摘要：

目的:探讨行螺旋CT平扫检查患者腰部肌群密度和面积的变化,并通过量化分析得出不同年龄及性别间腰部肌群退变的程度。方法:收集240例腰部CT扫描重建图像(体检者包括下腰痛患者),按年龄分为6组(20~29岁、30~39岁、40~49岁、50~59岁、60~69岁和70~79岁年龄组)。在不同的腰椎横突水平测量腰大肌、腰方肌、竖脊肌横断面积(CSA)和平均CT值。采用Toshiba Activion 16排螺旋CT扫描,采集范围从腰1至骶1。结果:①同年龄组(70~79岁年龄组除外)测量结果进行比较,相同椎体水平男性腰肌CSA明显高于同年龄组女性(P<0.05);②相同椎体水平男性腰大肌CSA在20~29岁、30~39岁和40~49岁年龄组间比较差异无统计学意义(P>0.05),50~59岁、60~69岁和70~79岁年龄组间比较差异无统计学意义(P>0.05);③40~49岁年龄组男性竖脊肌CSA大于50~59岁年龄组(P<0.05);④女性腰肌CSA20~29岁、30~39岁、40~49岁、50~59岁、60~69岁和70~79岁年龄组相邻组间比较差异无统计学意义(P>0.05);⑤相同水平男性和女性竖脊肌密度均值低于腰大肌和腰方肌均值,且下降速度更快,腰大肌密度均值相对最高。女性竖脊肌密度均值较男性更低,且在70~79岁年龄组下降变化最为明显(P<0.05)。结论:多排螺旋CT可以用以诊断腰肌退变情况。

关键词: 下腰痛, 横断面积, 计算机X线断层成像术, 退行性腰椎疾病

Abstract:

Objective To investigate the changes of waist muscle density and area in the subjects with spiral CT scan examination,and through the quantitative analysis of different age and gender to get the degree of lumbar muscle degeneration. Methods 240 cases of lumbar CT scan reconstruction images (including the patients suffering from low back pain)were collected.According to the age, 20-29 years old group,30-39 years old group,40-49 years old group, 50-59 years old group,60-69 years old group,and 70-79 years old group were set up. The lumbar transverse psoas muscle, lumbar side muscle, erector spinae cross-sectional areas(CSA) and mean CT values were measured at different levels. Scanning equipment: Toshiba Activion 16-slice spiral CT scanners, acquisition range from the waist 1 to S1. Results ①Compared between the measurement results of the same age groups(except 70-79 years old group),the average CSA of the male at the same level waist was higher than the female(P<0.05).②Compared between the same level groups of 20-29 years,30-39 years and 40-49 years,there were no significant differences(P>0.05). Compared between the same level groups of 50-59 years,60-69 years and 70-79 years,there was no significant difference(P>0.05). ③Compared the CSA of man's erector spinae muscle between 40-49 years group and 50-59 years group, there were significant differences(P<0.05). ④Compared the same level CSA of female between 20-29 years,30-39 years,40-49 years,50-59 years,60-69 years,70-79 years groups,and the adjacent groups,there were no significant differences(P>0.05). ⑤The same level average density of erector spinae muscle was lowest compared with the psoas major muscle and quadratus lumborum muscle, and falling faster, the psoas major muscle was relatively higher. The same level average density of female's erector spinae muscle was lower than man's,specially in 70-79 years group. Conclusion Multi-slice spiral CT can be used to diagnose the lumbar degenerative conditions.

Key words: low back pain, cross-sectional area, computerized tomography, degenerative lumbar spinal disease

中图分类号:

R445.3

付卫光, 刘硕, 丁军, 安俐莹. 多排螺旋CT在腰部肌群形态学参数测量中的应用及其临床意义[J]. 吉林大学学报(医学版), 2015, 41(06): 1284-1287.

FU Weiguang, LIU Shuo, DING Jun, AN Liying. Application of multi-slice CT in measurement of morphological parameters of waist muscle and its clinical significance[J]. Journal of Jilin University Medicine Edition, 2015, 41(06): 1284-1287.

参考文献

[1] 林向进.下腰痛的诊疗新进展[C]. 第三届浙江省疼痛学术研讨会资料汇编,杭州,2010.

[2] 郝阳生,郝兴梅,郝雪梅.腰椎退行性病变980例CT分析[J].基层医学论坛,2010,14(5):429-431.

[3] 欧阳林,周水添,肖玉辉,等.腰椎退行性变CT分型(附1180例分析)[J].实用放射学杂志,2007,28(8):1074-1082.

[4] 张海波,贾思明,王义生,等.下腰痛与腹主动脉钙化的相关性探讨[J].颈腰痛杂志,2005,26(4):296-297.

[5] Videman T,Nurminen T,Tola S,et al.Lowbackpain in nurses and some loading factors ofwork[J].Spine,1984,9(4):400-404.

[6] 谭仲伦,陈忠,郭晓婷,等.Baastrup病的影像学表现[J].中国CT与MRI杂志,2015,13(5):5-7.

[7] 徐新毅,邱素均,安胜利,等.社区人群非特异性下腰痛的危险因素研究[J].南方医科大学学报,2014,34(12):1794-1821.

[8] Bree RL,Green B,Keiller DL,etal.Medial deviation of ureters secondary to psoas muscle hypertrophy [J].Radiology, 1976,118(3):691-695.

[9] 王新军,杨兵.MSCT在腰椎病变中的应用价值[J].现代医用影像学,2007,16(3);113-116.

[10] Pogrund H, Bloom RA, Weinberg H.Relationship of psoas width to osteoporosis[J].Acta Orthop Scand,1986,57(3):208-210.

[11] 吴建贤,王斌,石淑霞.下腰痛生物力学特点的研究进展[J].中华临床医师杂志,2014,8(24):4449-4453.

[12] Panjabi M.The stabilising system of the spine.Part 1.Function,dysfunction,adaption,and enhancement[J].Spinal Disord,1992,5(4):383-389.

[13] 李玉斐,余红兰,石汉平.肌肉减少症[J].中华普通外科学文献,2011,5(3):185-187.

[14] 祝玉芬,郭庆林.正常腰大肌的CT研究[J].实用放射学杂志,1991,7(6):325-329.

[15] 汪伟,孔令懿,李佳录.定量CT肌肉密度的年龄变化趋势及其与骨密度的关系[J].中国医学影像学杂志,2011,19(12):903-908.

[16] 黄若葭,刘鸿宇.核心训练在慢性下腰痛康复中的应用[J].当代体育科技,2015,5(5):20-21.

[17] 李辉,姜春霞,宇培刚,等.肺内孤立结节的高分辨CT征象诊断价值[J].郑州大学学报:医学版,2014,49(6):872-875.

[18] 杜开军,刘彦宁,高亚洲,等.多层螺旋CT在急诊外伤性肝脾破裂诊断中的价值[J].西安交通大学学报:医学版,2015,36(5):460-464.

多排螺旋CT在腰部肌群形态学参数测量中的应用及其临床意义

Application of multi-slice CT in measurement of morphological parameters of waist muscle and its clinical significance

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