MRI影像学在游泳运动员腰椎间盘突出病情评估与疗效评价中的应用

The Application of MRI Imaging in the Condition Evaluation and Curative Effect Evaluation of Lumbar Disc Herniation in Swimmers

本文探究MRI影像学在游泳运动员腰椎间盘突出症(LDH)病情评估与疗效评价中的应用价值。选取72例游泳运动员LDH患者,均进行MRI检查获取MRI参数[髓核(NP)区T2值、纤维环(AF)区T2值],比较不同病情程度患者的一般资料、日本骨科学会评分(JOA)、视觉模拟评分法(VAS)评分及MRI参数。结果显示,JOA评分、NP区T2值、AF区T2值比较,重度患者小于中度患者,中度患者小于轻度患者;VAS评分比较,重度患者大于中度患者,中度患者大于轻度患者(P<0.05);NP区、AF区T2值与LDH病情程度、VAS评分呈负相关,与JOA评分呈正相关(P<0.05);治疗前与治疗2周后NP区ΔT2值、AF区ΔT2值,以及联合评价疗效差的曲线下面积(AUC)分别为0.753、0.814、0.931。MRI参数NP区T2值、AF区T2值与LDH病情程度相关,且在疗效评价方面具有良好的应用价值。

This study explored the application value of MRI imaging in the condition evaluation and efficacy evaluation of lumbar disc herniation(LDH)in swimmers.Seventy-two swimmers with LDH were selected,and all underwent MRI examination to obtain MRI parameters[nucleus pulposus(NP)area T2 value,annulus fibrosus(AF)area T2 value].Compared to the general data,Japanese Orthopaedic Association(JOA)score,visual analogue scale(VAS)score and MRI parameters of patients with different Severity of disease.The results showed that the comparison of JOA score,NP area T2 value,and AF area T2 value showed that severe patients were less than moderate patients,and moderate patients were less than mild patients.Compared with VAS scores,severe patients were greater than moderate patients,and moderate patients were greater than mild patients(P<0.05).The T2 value in NP area and AF area was negatively correlated with the severity of LDH and VAS score,and positively correlated with JOA score(P<0.05).TheΔT2 value of NP area,theΔT2 value of AF area,and the area under the curve(AUC)of combined evaluation of poor efficacy before treatment and after 2 weeks of treatment were 0.753,0.814,and 0.931,respectively.The T2 values of NP area and AF area of MRI parameters are related to the severity of LDH,and have good application value in the evaluation of curative effect.