中国骨伤
中國骨傷
중국골상
CHINA JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
2014年
3期
213-216
,共4页
腰椎%Modic病变%磁共振成像%腰痛
腰椎%Modic病變%磁共振成像%腰痛
요추%Modic병변%자공진성상%요통
Lumbar vertebrae%Modic lesion%Magnetic resonance imaging%Low back pain
目的：通过测定MRI T2正中矢状位像上腰椎终板Modic面积改变率分析Modic面积改变率大小与下腰痛程度的相关性。方法：2011年12月至2012年6月，对因下腰痛手术的70例患者进行疼痛和功能评分（JOA、VAS）和MRI检查，男39例，女31例；年龄29～72岁，平均（51．00±11．89）岁。70例中54例有腰椎终板Modic改变，将54例患者按Modic分型标准分为4型：Modic I型15例，ModicⅡ型21例，ModicⅢ型11例，Modic混和型7例（由于Modic混合型例数太少未纳入研究排除）。在MRI T2正中矢状位上测量各分型Modic改变面积及对应椎体的面积，两者面积比较得出Modic改变率，对于多节段Modic改变的求比率之和，观察JOA、VAS评分与Modic改变率之间的相关性。结果：ModicⅠ型改变率和JOA评分的相关系数r＝-0．308，P＝0．048＜0．05，两者具有负相关性；与VAS评分的相关系数r＝0．428，P＝0．021＜0．05，两者具有正相关性。 ModicⅡ型改变率和JOA评分的相关系数r＝-0．375，P＝0．043＜0．05，两者有负相关性；与VAS评分的相关系数r＝0．352，P＝0．041＜0．05，两者具有正相关性。ModicⅢ型面积改变率与下腰痛程度无明显相关性（P＞0．05）。结论：下腰痛患者中ModicⅠ、Ⅱ型面积改变率分别与下腰痛的疼痛程度有密切关系，ModicⅢ型面积改变率与下腰痛程度无明显相关性。
目的：通過測定MRI T2正中矢狀位像上腰椎終闆Modic麵積改變率分析Modic麵積改變率大小與下腰痛程度的相關性。方法：2011年12月至2012年6月，對因下腰痛手術的70例患者進行疼痛和功能評分（JOA、VAS）和MRI檢查，男39例，女31例；年齡29～72歲，平均（51．00±11．89）歲。70例中54例有腰椎終闆Modic改變，將54例患者按Modic分型標準分為4型：Modic I型15例，ModicⅡ型21例，ModicⅢ型11例，Modic混和型7例（由于Modic混閤型例數太少未納入研究排除）。在MRI T2正中矢狀位上測量各分型Modic改變麵積及對應椎體的麵積，兩者麵積比較得齣Modic改變率，對于多節段Modic改變的求比率之和，觀察JOA、VAS評分與Modic改變率之間的相關性。結果：ModicⅠ型改變率和JOA評分的相關繫數r＝-0．308，P＝0．048＜0．05，兩者具有負相關性；與VAS評分的相關繫數r＝0．428，P＝0．021＜0．05，兩者具有正相關性。 ModicⅡ型改變率和JOA評分的相關繫數r＝-0．375，P＝0．043＜0．05，兩者有負相關性；與VAS評分的相關繫數r＝0．352，P＝0．041＜0．05，兩者具有正相關性。ModicⅢ型麵積改變率與下腰痛程度無明顯相關性（P＞0．05）。結論：下腰痛患者中ModicⅠ、Ⅱ型麵積改變率分彆與下腰痛的疼痛程度有密切關繫，ModicⅢ型麵積改變率與下腰痛程度無明顯相關性。
목적：통과측정MRI T2정중시상위상상요추종판Modic면적개변솔분석Modic면적개변솔대소여하요통정도적상관성。방법：2011년12월지2012년6월，대인하요통수술적70례환자진행동통화공능평분（JOA、VAS）화MRI검사，남39례，녀31례；년령29～72세，평균（51．00±11．89）세。70례중54례유요추종판Modic개변，장54례환자안Modic분형표준분위4형：Modic I형15례，ModicⅡ형21례，ModicⅢ형11례，Modic혼화형7례（유우Modic혼합형례수태소미납입연구배제）。재MRI T2정중시상위상측량각분형Modic개변면적급대응추체적면적，량자면적비교득출Modic개변솔，대우다절단Modic개변적구비솔지화，관찰JOA、VAS평분여Modic개변솔지간적상관성。결과：ModicⅠ형개변솔화JOA평분적상관계수r＝-0．308，P＝0．048＜0．05，량자구유부상관성；여VAS평분적상관계수r＝0．428，P＝0．021＜0．05，량자구유정상관성。 ModicⅡ형개변솔화JOA평분적상관계수r＝-0．375，P＝0．043＜0．05，량자유부상관성；여VAS평분적상관계수r＝0．352，P＝0．041＜0．05，량자구유정상관성。ModicⅢ형면적개변솔여하요통정도무명현상관성（P＞0．05）。결론：하요통환자중ModicⅠ、Ⅱ형면적개변솔분별여하요통적동통정도유밀절관계，ModicⅢ형면적개변솔여하요통정도무명현상관성。
Objective:To analyzed the relationship between lumbar endplate Modic area changes rate and low back pain by measuring MRI T2 sagittal image of lumbar endplate Modic area changes rate. Methods:From December 2011 to June 2012,70 patients with low back pain in operation were evaluated on pain by VAS and function by JOA ,and examined by MRI including 39 males and 31 females with an average age of (51.00±11.89) years ranging from 29 to 72 years old. Among them, 54 cases had lumbar endplate Modic changes involving 15 cases in types ModicⅠ,21 cases in type ModicⅡ,11 cases in type ModicⅢ,mixed type Modic in 7 cases (eliminated for too few cases). Modic area changes and corresponding vertebral area were measured on MRI T2 median sagittal. The areas of two ways were compared to yield the rate of changes for Modic ,for multisegmental Modic changes to calculate the total ratios. A correlation was observed among JOA ,VAS and the rate of Modic changes. Results:The correlation coefficient of change rate of ModicⅠwith JOA score was r=-0.308,P=0.048<0.05,there was a negative correlation;the correlation coefficient of change rate of ModicⅠwith VAS scores was r=0.428,P=0.021<0.05,there was a positive correlation. The correlation coefficient of change rate of Modic Ⅱwith JOA score was r=-0.375,P=0.043<0.05, there was a negative correlation;the correlation coefficient of change rate of Modic Ⅱwith VAS score was r=0.352,P=0.041<0.05, there was a positive correlation. The area change rate of Modic Ⅲhad no significant correlation with low back pain de-gree (P>0.05). Conclusion:ModicⅠandⅡarea changes rate of of patients with low back pain is closely related to the degree of pain low back pain,ModicⅢarea changes rate is not significant correlated to the degree of lower back pain.
