下腰痛和腹主动脉钙化 - 医学期刊频道--首席医学网.docVIP

作者单位:解放军第98医院心内科,浙江湖州　313000 3第二军医大学附属长征医院骨科,上海　200003 作者简介:邱一华(19702,女,江西赣州人,主治医师,学士。研究方 向:动脉粥样硬化性疾病,心脏介入。电话:(05727203478　E 2 mail :qiuyihua @ ?论　著? 下腰痛和腹主动脉钙化 (附19例报告 邱一华　谭俊铭3　叶晓健3　骆合德　何海龙3　冯金忠 摘　要　目的:动脉粥样硬化可能是一些下腰痛患者的病因,腰骶区的血供不足可能导致下腰痛。方法:对100例年龄大于50岁的严重下腰痛患者行前瞻性研究,通过影像学检查发现19例患者存在腹主动脉钙化。这19例患者经多学科会诊后行抗动脉粥样硬化治疗在内的综合治疗。结果:19例患者随访了1~2年,根据主观症状评估示13例疗效满意,随访检查示患者的腹主动脉钙化无明显变化。结论:动脉粥样硬化是引起下腰痛的可能病因之一,但下腰痛史可能是多因素作用的结果。 关键词　下腰痛;　动脉粥样硬化;　椎间盘、椎间盘退变 中图分类号　R681155　　　文献标识码　A 　　　文章编号　1005-8478(200407-0511-03 Low b ack pain and calcif ication of abdominal aorta (19cases report ∥QIU Yi 2hua ,TA N J un 2ming ,Y E Xiao 2 jian ,et al 1Depart ment of Cardiology ,the 98th Hospital of PL A ,Huz hou 313000 Abstract 　Objective :To report low back pain in some cases may be a manifestation of atherosclerosis 1Anything causing or worsening local ischemia of the lumbar region may cause low back pain 1Method :A prospective study was carried out and 100patients with severely low back pain who were 50years of age or more were evaluated with a diagnostic procedure called imag 2ing methods ,and it was finally found that 19patients had atherosclerotic calcifications visible on com puted tomographic scans ,17of the 19patients were treated by back surgery and all the 19cases were managed with a multidisciplinary consultation and comprehensive treatment ,including anti 2atherosclerotic therapy 1Result :By assessing the patient ’s subjective symptoms ,13patients achieved good and excellent results with a follow 2up for 1~2years ,and calcifications of abdominal aorta in the 19pa 2tiens had not significant change during the follow 2up 1Conclusion :Atherosclerosis may reduce the blood supply to the back and cause low back pain ,although pathogenesis of low back pain is multifactorial 1If vascular reasons prove to be the usual causes of low back pain ,the diagnosis and care of low back pain will change 1 K ey w ords 　Low back pain ;　Atherosclerosis ;　Intervertebral disc ,Disc degeneration 　　下腰痛(Low back pa