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首页> 外文期刊>Journal of women’s health >Lumbar Intervertebral Disc Degeneration as a Common Incidental Finding in Young Pregnant Women as Observed on Prenatal Magnetic Resonance Imaging
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Lumbar Intervertebral Disc Degeneration as a Common Incidental Finding in Young Pregnant Women as Observed on Prenatal Magnetic Resonance Imaging

机译:腰椎椎间盘变性是在产前磁共振成像上观察到的年轻孕妇的常见偶然发现

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Background: Obstetric imaging, subserving fetal evaluation, may yield incidental maternal findings. Based on prenatal magnetic resonance (MR) imaging, this study aims to investigate incidental intervertebral disc degeneration and displacement in young, pregnant women. Methods: This retrospective study included the sagittal 1.5 Tesla, T2-weighted lumbar spine images of 943 pregnant Central Europeans (age range, 18-47 years), who initially had undergone MR imaging because of sonographically suspected fetal abnormalities. Qualitatively, 4715 lumbar intervertebral discs were evaluated for degeneration using a modified Pfirrmann MR classification (nondegenerated, low-grade, moderate, and high-grade degeneration), as well as for displacement. In addition to descriptive statistics, an ordinal regression analysis was performed to analyze the relationship between degeneration and the women's age, and body weight. Results: With regard to the highest degree of degeneration in each woman, 578 (61.3%) showed low-grade, 211 (22.4%) moderate, and 154 (16.3%) high-grade degeneration, and no woman had entirely nondegenerated discs. For the span from 18 to 47 years of age, moderate and high-grade degeneration increased from 6.7% to 36.7% and from 13.3% to 22.4%, respectively. Of 943 women, 57 (6%) had disc displacements, of which 97% were in conjunction with high-grade degeneration. There was a statistically significant relationship (p < 0.001) between degeneration and age, and between degeneration and body weight. Conclusions: In young pregnant women, lumbar intervertebral disc degeneration is a ubiquitous, incidental finding, increasing from the late second decade of life onward, which may be part of physiological aging, as opposed to a small percentage of incidental disc displacements.
机译:背景:产科成像,留下胎儿评估,可产生偶然母体发现。本研究旨在基于产前磁共振(MR)成像,旨在调查年轻孕妇的偶然椎间盘退化和位移。方法:该回顾性研究包括矢状1.5 Tesla,T2加权腰椎图像为943名怀孕中欧欧洲(年龄范围,18-47岁),他最初经历了MR成像,因为有声学疑似胎儿异常。定性地,使用改性的PFIRRMAN MR分类(非预期的,低级,中等和高等变性)以及位移来评估4715腰椎间盘进行退化。除了描述性统计外,还进行了序数回归分析,分析退化与女性年龄和体重之间的关系。结果:关于每个妇女的最高程度的退化程度,578(61.3%)显示低级别,211(22.4%)中等,154(16.3%)高级变性,没有妇女完全不良好圆盘。对于从18至47岁的跨度,中等和高级变性分别从6.7%增加到36.7%,分别为13.3%至22.4%。在943名女性中,57名(6%)有椎间盘位移,其中97%与高级变性相结合。变性和年龄之间存在统计学上显着的关系(p <0.001),以及退化和体重之间。结论:在年轻孕妇中,腰椎椎间盘退变性是一种普遍存在的,偶然的发现,从后期的第二个十年后的偶然的偶然的发现,这可能是生理老化的一部分,而不是少量的偶然圆盘位移。

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