rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2020-101-3-147-154rentrad-563Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL RESEARCHМногосрезовая компьютерная томография в диагностике изменений ягодичных мышц у больных сколиозом разного возраста и с различной величиной деформации до леченияMultislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatmenthttps://orcid.org/0000-0003-1973-4680ДьячковаГ. В.DiachkovaG. V.

Дьячкова Галина Викторовна, д. м. н., профессор, заведующая лабораторией

ул. М. Ульяновой, 6, Курган, 640014

Galina V. Diachkova, Dr. Med. Sc., Professor, Head of Laboratory

ul. M. Ul’yanovoy, 6, Kurgan, 640014

dgv2003@list.ruhttps://orcid.org/0000-0002-6390-0423ЗейналовЮ.ZeynalovYu.

Зейналов Юсиф, к. м. н., ортопед-вертебролог

ул. Мектебли, 1, Баку, AZ1000

Yusif Zeynalov, Сand. Med. Sc., Orthopedist-Vertebrologist

ul. Mektebli, 1, Baku, AZ1000

https://orcid.org/0000-0001-6020-2489КорабельниковМ. А.Korabel’nikovM. A.

Корабельников Михаил Алексеевич, врач-радиолог

ул. Барнаульская, 32, Тюмень, 625041

Mikhail A. Korabel’nikov, Radiologist

ul. Barnaul’skaya, 32, Tyumen, 625041

ДьячковК. А.DiachkovK. A.

Дьячков Константин Александрович, д. м. н., вед. науч. сотр, заведующий рентгеновским отделением

ул. М. Ульяновой, 6, Курган, 640014

Konstantin A. Diachkov, Dr. Med. Sc., Leading Researcher, Head of Radiology Department

ul. M. Ul’yanovoy, 6, Kurgan, 640014

https://orcid.org/0000-0002-0724-1339ЛарионоваТ. А.LarionovaT. A.

Ларионова Татьяна Адиславовна, к. м. н., ст. науч. сотр.

ул. М. Ульяновой, 6, Курган, 640014

Tat’yana A. Larionova, Cand. Med. Sc., Senior Researcher

ul. M. Ul’yanovoy, 6, Kurgan, 640014

https://orcid.org/0000-0002-3998-6781СутягинИ. В.SutyaginI. V.

Сутягин Илья Вячеславович, врач-ординатор

ул. М. Ульяновой, 6, Курган, 640014

Il'ya V. Sutyagin, Radiologist

ul. M. Ul’yanovoy, 6, Kurgan, 640014

ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. академика Г.А. Илизарова»РоссияNational Ilizarov Medical Research Center for Traumatology and Ortopedics, Ministry of Health of the Russian FederationRussian FederationКлиника Военно-медицинского управления Службы государственной безопасности Азербайджанской РеспубликиАзербайджанClinic of the Military Medical Department of the State Security Service of the Republic of AzerbaijanAzerbaijanРадиологический центр ГАУЗ ТО «Многопрофильный клинический медицинский центр “Медицинский город”»РоссияRadiologic Center of the Multidisciplinary Medical Center “Medical City”Russian Federation2020300620201013147154Copyright © Дьячкова Г.В., Зейналов Ю., Корабельников М.А., Дьячков К.А., Ларионова Т.А., Сутягин И.В., 20202020Дьячкова Г.В., Зейналов Ю., Корабельников М.А., Дьячков К.А., Ларионова Т.А., Сутягин И.В.Diachkova G.V., Zeynalov Y., Korabel’nikov M.A., Diachkov K.A., Larionova T.A., Sutyagin I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/563

Цель исследования – с помощью многосрезовой компьютерной томографии (МСКТ) изучить состояние ягодичных мышц у больных сколиозом различной этиологии.

Материал и методы

Материал и методы. МСКТ впервые применена для исследования ягодичных мышц у 27 больных идиопатическим сколиозом. Больные были обследованы для изучения позвоночника с целью определения метода и тактики лечения сколиоза. Мышцы были дополнительно изучены с помощью рабочих станций и программ для обработки данных МСКТ. В контрольную группу включены 18 пациентов без клинически и КТ- выявленной патологии позвоночника и тазобедренного сустава, которые были обследованы в связи с заболеваниями органов малого таза.

Результаты

Результаты. При деформациях позвоночника не более 60° у пациентов в возрасте до 18 лет изменения мышц заключались в умеренной гипотрофии, увеличении плотности, особенно средней ягодичной мышцы, до 62,01 ± 7,20 HU. У больных в возрасте старше 18 лет плотность мышц уменьшалась при любой величине деформации и была тем меньше, чем старше были пациенты. У больных с деформацией позвоночника более 90º плотность большой ягодичной мышцы достоверно различалась на выпуклой и вогнутой стороне и была меньше (р < 0,05) с вогнутой стороны, чем у пациентов с деформацией 60–90°.

Заключение

Заключение. Результаты работы показали, что на состояние ягодичных мышц у больных сколиозом влияет не только величина деформации, но и возраст. У больных старше 18 лет изменения в мышцах при равной величине деформации выражены больше и проявляются гипотрофией, атрофией, жировым перерождением.

Objective. To study the gluteal muscles in patients with scoliosis of various etiologies using multislice computed tomography (MSCT).Material and methods. MSCT was first used to study the gluteal muscles of 27 patients with idiopathic scoliosis. The patients were examined to study the vertebral column in order to determine a method and tactics for scoliosis treatment. The muscles were additionally examined using workstations and programs for MSCT data processing. In a control group of 18 patients with no clinical manifestations of spinal and hip joint abnormalities or those detected on CT, their gluteal muscles were examined due to their pelvic organ diseases.Results. Patients younger than 18 years of age who had spinal deformations of not more than 60 degrees had muscle changes as moderate hypotrophy, increased density, especially that of the gluteus medius muscle to 62.01 ± 7.20 HU. In patients over 18 years of age, the muscle density decreased at any magnitude of deformation and was the smaller the older patients were. In patients with spinal deformation greater than 90 degrees, the density of the gluteus maximus muscle on the convex side was significantly different from that on the concave side and was less on the concave side (p <0.05) than in those with a deformation of 60–90 degrees.Conclusion. The results showed that in patients with scoliosis, the gluteal muscles were affected not only by the magnitude of deformation, but also by age. In patients over 18 years of age, muscle changes with equal magnitudes of deformation were more pronounced and were manifested by hypotrophy, atrophy, and fatty degeneration.

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The authors declare that there are no conflicts of interest present.