腰痛与胸腰筋膜影像学征像相关性的研究进展△

Research progress of imaging presentation of thoracolumbar fascia related to back pain

摘要:

胸腰筋膜 (thoracolumbar fascia, TLF) 将脊椎旁肌肉与后腹壁肌肉分开，TLF 的所有层组成一个复合体，在维持邻近胸腰节段，尤其是对下腰椎及骶髂关节的稳定有尤为重要的作用。腰椎疾病往往伴发 TLF 的改变，目前，并未引起临床的广泛重视，影像学评价也未形成统一的标准。用影像学准确识别并研究 TLF 的形态改变及功能变化，对于腰背痛患者临床治疗与预防而言有重要意义。本文就下腰痛患者的 TLF 影像学表现及影像学不足进行了总结，并对新技术进行了展望，以期提高对 TLF 影像学表现的认识。

Abstract:

The thoracolumbar fascia (TLF) separates the paravertebral muscles from the posterior abdominal wall muscles, and all lay- ers of the thoracolumbar fascia form a complex that is particularly important in maintaining stability adjacent to the thoracolumbar segment, especially the lower lumbar and sacroiliac joints. Lumbar spine diseases are often accompanied by changes in the TLF. However, the presen- tations have not attracted widespread clinical attention at present, while imaging evaluation has not formed a unified standard. Accurate iden- tification and study of morphological and functional changes of the TLF by imaging is very critical for the clinical treatment and prevention of low back pain. Therefore, the author summarizes the imaging performance and deficiencies of TLF in patients with lower back pain, and looks forward to new technologies in order to improve our understanding of TLF imaging performance.