高级检索

腰椎骨密度与大型肩袖撕裂的相关性分析

Correlation between lumbar spine bone mineral density and large rotator cuff tears

    摘要
  • 摘要:
    目的 探讨腰椎骨密度与大型肩袖撕裂发生的相关性。
    方法 选取2018年1月—2023年10月在昆山市中医医院关节外科住院行肩关节镜手术治疗的患者109例, 并按照肩袖撕裂的程度分为大型肩袖撕裂组(n=27)和小型肩袖撕裂组(n=82)。收集患者基本信息，采用多因素Logistics回归分析探讨腰椎骨密度与大型肩袖撕裂发生的相关性。
    结果 大型肩袖撕裂组年龄、外伤史比率高于小型肩袖撕裂组，总胆固醇、白蛋白、血镁、全髋关节骨密度及腰椎骨密度低于小型肩袖撕裂组，差异均有统计学意义(P < 0.05)。多因素Logistic回归分析结果表明，腰椎骨密度与大型肩袖撕裂发生有关。大型肩袖撕裂患病率在腰椎骨密度Q1(< 0.870 g/cm2)、Q2(0.870~ < 0.991 g/cm2)、Q3(0.991~1.137 g/cm2)、Q4(>1.137 g/cm2)这4个四分位数区间依次为48.15%、29.63%、18.52%、3.70%, 呈逐渐下降趋势, 差异有统计学意义(P < 0.05)。
    结论 腰椎骨密度与大型肩袖撕裂具有相关性，腰椎骨密度越低，大型肩袖撕裂发生的风险越高。

     

    Abstract:
    Objective To explore the correlation between lumbar spine bone mineral density and the occurrence of large rotator cuff tears.
    Methods A total of 109 patients with arthroscopic shoulder surgery in the Department of Arthroplasty Surgery in Kunshan Hospital of Traditional Chinese Medicine from January 2018 to October 2023 were selected and divided into large rotator cuff tear group (n=27) and small rotator cuff tear group (n=82) according to the severity of the rotator cuff tears. General materials of patients were collected, and multivariate Logistic regression analysis was used to investigate the correlation between lumbar spine bone mineral density and the occurrence of large rotator cuff tears.
    Results The large rotator cuff tear group had significant higher age and higher proportion of patients with a history of trauma compared to the small rotator cuff tear group (P < 0.05); additionally, the levels of total cholesterol, albumin, serum magnesium, total hip bone mineral density, and lumbar spine bone mineral density were significantly lower in the large rotator cuff tear group (P < 0.05). The results of multivariate Logistic regression analysis indicated that lumbar spine bone mineral density was associated with the occurrence of large rotator cuff tears. The prevalence of large rotator cuff tears across the four quartile intervals of lumbar spine bone mineral density named as Q1 (< 0.870 g/cm2), Q2 (0.870~ < 0.991 g/cm2), Q3 (0.991~1.137 g/cm2), and Q4 (>1.137 g/cm2) were 48.15%, 29.63%, 18.52% and 3.70% respectively, showing a gradual decreasing trend with significant differences (P < 0.05).
    Conclusion There is a correlation between lumbar spine bone mineral density and large rotator cuff tears. The lower the bone density of the lumbar spine is, the higher the risk of large rotator cuff tears will be.

     

    • HTML全文
    • 参考文献(28)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回