摘要
目的研究超声弹性成像技术在诊断慢性非特异性腰痛中的价值。方法 2016年3月至9月,临床诊断为慢性非特异性腰痛患者32例(病例组)和健康志愿者32例,使用超声弹性成像技术对腰部竖脊肌进行测量,计算杨氏模量值。病例组视觉模拟量表(VAS)评分、日本骨科协会(JOA)评分与杨氏模量值进行Pearson相关性分析。结果两组双侧竖脊肌杨氏模量值均无显著性差异(t<1.849,P>0.05),病例组显著高于对照组(t=9.931,P<0.001)。病例组杨氏模量值与VAS正相关(r=0.614,P<0.001),与JOA评分无明显相关性(r=-0.243,P=0.180)。结论超声弹性成像技术可用来区分腰痛患者和健康人,并可评价腰痛程度。
Objective To evaluate the value of ultrasonic elastography for diagnosis of chronic nonspecific low back pain. Methods From March to September, 2016, 32 patients diagnosed as chronic nonspecific low back pain and other 32 healthy people （controls） were measured lumbar erector spinae with ultrasonic elastography, and calculated Yang＇s modulus. The correlation between Yang＇s modulus and Visual Analogue Scale （VAS） or Japanese Orthopaedic Association （JOA） score in the patients were investigated with Pearson＇s analysis. Re- sults There was no significant difference in Yang＇s modulus between bilateral lumbar erector spinae in both the patients and the controls （t〈 1.849, P〉0.05）, but it was more in the patients than in the controls （t=9.931, P〈0.001）. The Yang＇s modulus was positively correlated with VAS score in the patients （r=0.614, P〈0.001）, but not with the JOA score （r=-0.243, P=0.180）. Conclusion Ultrasonic elastography can be applied to differentiate low back pain from the healthy, and measure the intensity of pain.
作者
梁育磊
高谦
乔璐
疏丹
赵丹
LIANG Yu-lei GAO Qian QIAO Lu SHU Dan ZHAO Dan(Chinese PLA Medical School, Beijing 100853, China Department of Rehabilitation, Hainan Branch of Chinese PLA General Hospital, Sanya, Hainan 572013, China)
出处
《中国康复理论与实践》
CSCD
北大核心
2017年第5期584-586,共3页
Chinese Journal of Rehabilitation Theory and Practice
基金
吴阶平医学基金会临床科研专项基金项目(No.320.6750.1371)
关键词
慢性非特异性腰痛
超声弹性成像
竖脊肌
chronic nonspecific low back pain
ultrasonic elastography
erector spinae
作者简介
梁育磊（1984-），男，汉族，安徽合肥市人，硕士研究生，主治医师，主要研究方向：软组织疼痛的康复。
通讯作者：高谦，男，主任医师，硕士生导师，主要研究方向：软组织疼痛的康复。E-mail：GQ301@sina．com。
