摘要
目的观察腰椎间盘突出症患者不同时期多裂肌形态变化。方法选取腰椎间盘突出症患者102例,行MRI检查,观察不同时期多裂肌MRI形态变化以及患者早期健患侧多裂肌最大横径。结果发病初期伴有腰痛者患侧多裂肌横径较健侧大,与单纯下肢疼痛者比较有显著性差异,而在中晚期均有不同程度的多裂肌萎缩,其与患病时间呈正相关。结论腰椎间盘突出症患者早期多裂肌可能存在痉挛,而随时间推移,在中晚期则逐渐出现萎缩。
Objective To observe the morphological changes of multifidus in patients with lumber disc herniation at different stages.Methods One hundred and two patients with lumber disc herniation were selected for this study,MRI examinations were made at different stages,and the maximum transverse diameter and morphological features of multifidus were examined and recorded.Results The transverse diameter of affected multifidus in these patients with lower back pain was larger than that of healthy side at early stage of the disease,and there was significant difference compared with the feature of multifidus in patients without lower back pain.The affected multifidus was atrophied at middle and late stages of the disease.The degree of atrophy was directly related to the duration of disease.Conclusion The affected multifidus may be spasmodic at the early stage because the muscle is larger than that of the healthy side,and then it gradually atrophied at middle and late stages of the disease.
出处
《临床和实验医学杂志》
2012年第8期608-608,610,共2页
Journal of Clinical and Experimental Medicine
