不同体位下青少年特发性脊柱侧凸患者椎旁肌的超声影像测量与分析

doi:10.13418/j.issn.1001-165x.2022.6.05

中国临床解剖学杂志 ›› 2022, Vol. 40 ›› Issue (6): 655-659.doi: 10.13418/j.issn.1001-165x.2022.6.05

不同体位下青少年特发性脊柱侧凸患者椎旁肌的超声影像测量与分析

杨巧华¹，　颜滨²，　李征毅³，　杜冰冉¹，　汝首航⁴，　姜江¹，　汪斐¹，　贾蕊¹，　李鉴轶^5，1*

1. 南方医科大学基础医学院人体解剖学教研室，广东省数字医学与生物力学重点实验室，广州 510515； 2. 深圳市第二人民医院脊柱外科，广东深圳 518035； 3. 深圳市第二人民医院超声科，广东深圳 518035； 4. 深圳市青少年脊柱健康中心，广东深圳 518000； 5. 南方医科大学第三附属医院医学实验中心，广州 510630

收稿日期:2022-02-12 出版日期:2022-11-25 发布日期:2022-12-12
通讯作者: 李鉴轶，博士，教授，E-mail：wuxili74@126.com
作者简介:杨巧华（1995-），女，湖南邵阳人，硕士研究生，主要从事生物力学研究，E-mail：2504424393@qq.com
基金资助:
国家自然科学基金（3177070377）

Ultrasound imaging measurement and analysis of paravertebral muscles in adolescent patients with idiopathic scoliosis at different positions

Yang Qiaohua¹, Yan Bin², Li Zhengyi³, Du Bingran¹, Ru Shouhang⁴, Jiang Jiang¹, Wang Fei¹, Jia Rui¹, Li Jianyi^5,1*

1.Department of Human Anatomy, Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Southern Medical University, Guangzhou 510515, China; 2. Department of Spine Surgery, The Shenzhen Second People's Hospital, Shenzhen 518035, China；3.Department of Ultrasound, The Shenzhen Second People's Hospital, Shenzhen 518035, China；4. Shenzhen Youth Spine Health Center, Shenzhen 518000, China; 5. The Third Affiliated Hospital of Southern Medical University, Guangzhou 510515, China

Received:2022-02-12 Online:2022-11-25 Published:2022-12-12

摘要/Abstract

摘要： 目的　超声评估青少年特发性脊柱侧凸（AIS）患者脊柱两侧椎旁肌的对称性和形态学特征，为AIS运动治疗提供线索和依据。方法　收集23例AIS患者（患者组）与23例无脊柱侧凸的青少年（对照组），应用超声对两组受试者在休息位（腰背部肌肉取俯卧位、腹部肌肉取仰卧位）、站立位下测量椎旁肌（T12~L5水平竖脊肌、T12~S1水平多裂肌、腰方肌和腹横肌）厚度，计算肌肉厚度变化率。结果　休息和站立位时，AIS患者主弯曲线T12~L4水平竖脊肌、T12~S1水平多裂肌、腰方肌和腹横肌（仅休息位）凸侧厚度均小于凹侧（P<0.05）；休息和站立位时，AIS患者凸侧竖脊肌、多裂肌、腰方肌和腹横肌（仅休息位）厚度均小于对照组（P<0.05）；AIS患者凹凸两侧的竖脊肌收缩厚度变化率均小于对照组（P<0.05）。结论　休息和站立位时，AIS患者主弯曲线多个椎体节段椎旁肌对称性不良，较对照组凸侧椎旁肌厚度薄。

关键词: 青少年, 　特发性脊柱侧凸, 　超声, 　椎旁肌, 　厚度

Abstract: Objective　To evaluate the symmetry and morphologic characteristics of the paravertebral muscle in adolescent idiopathic scoliosis (AIS) patients by ultrasound, so as to provide basis for the exercise treatment of AIS.　Methods 　A total of forty-six adolescents (23 with AIS as a patient group and 23 without AIS as a control group) were collected. The thickness of paravertebral muscle (erector spinae at T12~L5 vertebral levels, multifidus at T12~S1 vertebral levels, quadratus lumborum and transversus abdominis muscle) was measured by ultrasound in resting position (prone position of lumbar and back muscles, supine position of abdominal muscles) and standing position. The rate of muscle thickness change was calculated.　Results　At resting position and standing position, the convex side thickness of erector spinae at T12~L4 vertebral levels, the multifidus of T12~S1 vertebral levels, quadratus lumborum and transversus abdominis muscle (only the rest position) of the main bending line in AIS patients was lower than that of the concave side (P<0.05). At resting position and standing position, the change rates of spinal erector contraction thickness on convex side and concave side in AIS group was lower than that in the control group (P<0.05).　Conclusions　At resting position and standing position, compared with the control group, the paraspinal muscles of AIS patients were asymmetrical in multiple vertebral segments, and the thickness of the convex paraspinal muscles were thinner in the AIS patients.

Key words: Adolescent; , , Idiopathic scoliosis; , , Ultrasonography; , , Paravertebral muscle; , , Thickness

中图分类号:

R322
R445.1

杨巧华, 颜滨, 李征毅, 杜冰冉, 汝首航, 姜江, 汪斐, 贾蕊, 李鉴轶. 不同体位下青少年特发性脊柱侧凸患者椎旁肌的超声影像测量与分析[J]. 中国临床解剖学杂志, 2022, 40(6): 655-659.

Yang Qiaohua, Yan Bin, Li Zhengyi, Du Bingran, Ru Shouhang, Jiang Jiang, Wang Fei, Jia Rui, Li Jianyi. Ultrasound imaging measurement and analysis of paravertebral muscles in adolescent patients with idiopathic scoliosis at different positions [J]. Chinese Journal of Clinical Anatomy, 2022, 40(6): 655-659.

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不同体位下青少年特发性脊柱侧凸患者椎旁肌的超声影像测量与分析

Ultrasound imaging measurement and analysis of paravertebral muscles in adolescent patients with idiopathic scoliosis at different positions

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