腰椎退行性侧凸患者椎旁肌的形态学改变

doi:10.13418/j.issn.1001-165x.2021.03.004

中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (3): 263-268.doi: 10.13418/j.issn.1001-165x.2021.03.004

腰椎退行性侧凸患者椎旁肌的形态学改变

杨斌^{1， 2}，郑明辉^¹，凌杜华¹，陈韦东¹，瞿东滨²

1.南方医科大学南方医院脊柱骨科，广州 510515； 2.南方医科大学南方医院增城分院骨科，广州 511300

收稿日期:2020-01-16 出版日期:2021-05-25 发布日期:2021-06-02
通讯作者: 瞿东滨，教授，主任医师，E-mail: nfyy_qu@163.com
作者简介:杨斌（1993-），男，江西高安人，医师，硕士，主要从事骨科临床解剖学方面的研究，E-mail：18520282513@163.com

Morphological changes of paravertebral muscles in patients with lumbar degenerative scoliosis

Yang Bin¹, Zheng Minghui¹, Ling Duhua¹, Chen Weidong¹, Qu Dongbin²

1. Department of Spinal Orthopaedics, Southern Hospital, Southern Medical University, Guangzhou 510515, China; 2. Department of Orthopaedics, Zengcheng Branch of Southern Hospital, Southern Medical University, Guangzhou 511300, China

Received:2020-01-16 Online:2021-05-25 Published:2021-06-02

摘要/Abstract

摘要： 目的　观察腰椎退行性侧凸患者两侧椎旁肌的形态学改变，分析其临床意义。方法　回顾性分析我院2015年1月-2017年12月住院的84例腰椎退变性侧凸患者。按患者顶椎位置分为3组。A组：顶椎位于L2-3椎间盘，B组：顶椎位于L3椎体，C组：顶椎位于L3-4椎间盘。使用image pro PLus软件测量椎旁肌肉相关数据。结果　（1）A组顶椎节段多裂肌（MF）面积比凸侧大于凹侧，MF脂肪浸润程度凸侧小于凹侧；（2）腰大肌（PS）面积比凸侧小于凹侧， PS脂肪浸润程度凸侧小于凹侧。（3）A、B、C 3组在顶椎上一个及下一个椎间盘平面与顶椎椎间盘平面有相似的结果。结论　退行性侧凸患者凸凹侧椎旁肌退变程度不同，凹侧大于凸侧，退变节段主要发生于顶椎上、下各一节段。且肌肉退变主要以肌肉的脂肪浸润程度增加为主。

关键词: 腰椎退变性侧凸, 　脂肪浸润程度, 　椎旁肌

Abstract: Objectives　To observe the morphological changes of paraspinal muscles on both sides of lumbar degenerative patients, and to analyze its clinical significance.　Methods　A retrospective analysis of 84 patients with lumbar degenerative lumbar stenosis who were hospitalized from January 2015 to December 2017 in our hospital was performed. The patients were divided into the following three groups: group A: the parietal vertebra was located at the L2-3 intervertebral disc, group B: the parietal vertebra was located at the L3 vertebral body, and group C: the parietal vertebra was located at the L3-4 intervertebral disc. The data of paraspinal muscles were measured by image pro PLus software.　Results　(1) In group A, the area of the multifissure muscle (MF) in the apical vertebra segment was larger than that in the concave side. The degree of MF fat infiltration in the convex side was smaller than that in the concave side. (2) The area ratio of the psoas major muscle (PS) in the convex side was smaller than that in the concave side, and the fat infiltration degree. (3) Groups A, B and C had similar results on the upper and next intervertebral disc plane of the parietal vertebra.　Conclusions　In patients with degenerative scoliosis, the degree of muscle degeneration in the convex and concave side is different, the concave side is larger than the convex side, and the degenerative segment mainly occurs in the upper and lower segments of the parietal vertebra. Muscle degeneration is mainly caused by the increasing of fat infiltration of muscle.

Key words: Lumbar degenerative scoliosis, 　Degree of fat infiltration, 　Paraspinal muscle

中图分类号:

R322

杨斌, 郑明辉, 凌杜华, 陈韦东, 瞿东滨. 腰椎退行性侧凸患者椎旁肌的形态学改变[J]. 中国临床解剖学杂志, 2021, 39(3): 263-268.

Yang Bin, Zheng Minghui, Ling Duhua, Chen Weidong, Qu Dongbin. Morphological changes of paravertebral muscles in patients with lumbar degenerative scoliosis[J]. Chinese Journal of Clinical Anatomy, 2021, 39(3): 263-268.

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腰椎退行性侧凸患者椎旁肌的形态学改变

Morphological changes of paravertebral muscles in patients with lumbar degenerative scoliosis

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