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腰椎终板Modic退变对手术疗效影响的远期观察 被引量:14
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作者 孟宪中 曹俊明 +2 位作者 申勇 孟宪国 杨大龙 《中国矫形外科杂志》 CAS CSCD 北大核心 2008年第9期660-662,共3页
[目的]探讨腰椎终板Modic退变对伴有下腰痛的腰椎间盘突出症患者手术疗效的远期影响。[方法]回顾分析50例行腰椎单阶段开窗减压髓核摘除术的腰椎间盘突出症患者,分为两组,一组有腰椎终板Modic退变(A组),另一组无腰椎终板Modic退变(B组)... [目的]探讨腰椎终板Modic退变对伴有下腰痛的腰椎间盘突出症患者手术疗效的远期影响。[方法]回顾分析50例行腰椎单阶段开窗减压髓核摘除术的腰椎间盘突出症患者,分为两组,一组有腰椎终板Modic退变(A组),另一组无腰椎终板Modic退变(B组)。对其随访至少48个月,比较两组患者术后临床疗效,并评价腰椎终板Modic退变对患者术后下腰痛缓解的影响。[结果]术后两组患者坐骨神经痛症状均缓解。临床疗效优良率:A组90·48%;B组93·10%,两组比较差异无统计学意义(P>0·05)。术后VAS评分:A组21·37±7·59;B组8·34±3·78,两组比较差异有统计学意义(P<0·05)。[结论]腰椎间盘突出症患者术后下腰痛恢复情况与腰椎终板Modic退变相关,提示腰椎终板Modic退变可能是下腰痛的原因之一,对终板的观察可以更全面的评判下腰痛的发生、预后。 展开更多
关键词 下腰痛 终板modic退变 手术疗效
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Methodology and cohort profile for the Hangzhou Lumbar Spine Study: a study focusing on back health in a Chinese population 被引量:1
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作者 Xiao-jian HU Lun-hao CHEN +1 位作者 Michele C.BATTIé Yue WANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2018年第7期547-558,共12页
Back pain is a worldwide health problem, adding a tremendous burden to modern societies. However, little information on back health is available in China, even though a quarter of the world's population is Chinese. T... Back pain is a worldwide health problem, adding a tremendous burden to modern societies. However, little information on back health is available in China, even though a quarter of the world's population is Chinese. To enhance knowledge in this area, we designed and initiated the Hangzhou Lumbar Spine Study, which is a cross-sectional study of a general sample of mainland Chinese with focusing on disc degeneration, Modic changes, endplate lesions, and back pain. The study consists of a structured questionnaire to measure back pain history and lifetime exposure to suspected risk factors, magnetic resonance imaging of the lumbar spine, bone mineral density study of the spine and hip, and DNA sample analysis. Here we briefly introduce the study methodology, report the test-retest reliability of the questionnaire, and describe the cohort profile to date. Since May 2014, 301 randomly selected subjects(male/female, 122/179; mean age, 51.0 years; range, 20–87 years) have been recruited. Tests-retests of the questionnaire, completed by 40 participants, revealed good reliability. To our knowledge, the Hangzhou Lumbar Spine Study is the first population-based epidemiological study conducted to characterize lumbar spinal phenotypes and back pain, their interaction, and their associations with lifetime environmental exposure, in mainland Chinese. Epidemiological information obtained from a reliable questionnaire, magnetic resonance(MR) imaging data, dual energy X-ray absorptiometry(DXA) measurements, and DNA analysis may serve as a valuable reference for future studies on back health, particularly for mainland Chinese. 展开更多
关键词 Back pain Population-based study Disc degeneration modic change Endplate lesion METHODOLOGY
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