更年期慢性下腰痛女性椎体骨密度与Modic改变的相关性

目的：对更年期慢性下腰痛女性椎体骨密度与 Modic 改变的相关性进行分析,研究椎体骨密度与 Modic 改变的意义.方法：使用2014年7月 -2016年7月在我院进行诊治的更年期慢性下腰痛女性90位,将其分成正常组、减少组以及疏松组,每组病人30位,比较 Modic 改变程度,并且分析椎体骨密度与 Modic 改变的相关性.结果：正常组Modic改变为10位（1型3位,2型4位,3型3位）,发生率为33%;减少组Modic改变为15位（1型7位,2型5位,3型3位）,发生率为50%;疏松组Modic改变为21位（1型9位,2型10位,3型2位）,发生率为70%.三组差异均具有统计学意义,p〈0.05. 结论：更年期慢性下腰痛女性椎体骨密度与 Modic 改变具有相关性,Modic 改变的改变率由于骨密度的减少而增加.

objective： chronic low back pain in menopause women vertebral bone mineral density and the correlation of Modic changes were analyzed, and the study of vertebral bone mineral density and the meaning of Modic changes. Methods： use the July 2014 - July 2016 in our hospital for diagnosis and treatment of female menopause chronic low back pain, 90, will be divided into normal group, it reduces and loose groups, each group of 30 patients, and compare the degree of Modic changes, and analyze the correlation of vertebral bone mineral density and Modic changes. Results： normal group of Modic changes of 10 （four three type 1, type 2 and type 3 3rd）, the rate of 33%; Reduce the set of Modic changes of 15 （seven type 1, type 2 5, 3 3rd）, rate of 50%; Osteoporosis group of Modic changes of 21 （nine type 1, type 2, 10, 3 type 2）, the rate of 70%. Statistically significant difference were observed in the three groups, p 〈 0.05. Conclusion： chronic low back pain of female menopause vertebral bone mineral density associated with Modic changes, because of the reduced bone mineral density of Modic changes in the rate increases.