腰椎椎管狭窄与糖尿病的关联性研究进展
Advances in the Study of the Association between Lumbar Spinal Stenosis and Diabetes Mellitus
DOI: 10.12677/acm.2025.153753, PDF,   
作者: 王学宇*：内蒙古医科大学研究生院，内蒙古 呼和浩特；李 峰#：内蒙古医科大学第二附属医院脊柱外科中心，内蒙古 呼和浩特
关键词: 腰椎椎管狭窄；糖尿病；关联性研究；综述；Lumbar Spinal Stenosis； Diabetes Mellitus； Correlation Studies； Review
摘要: 目的：探讨糖尿病与腰椎椎管狭窄之间的关联性。方法：检索糖尿病和腰椎椎管狭窄相关研究的已发表论文，对二者的关系进行综述。结果：患有糖尿病是腰椎椎管狭窄的高危因素之一。越来越多的研究证明，患有糖尿病可能会导致椎间盘及黄韧带的退行性改变的进程加快，这可能增加腰椎椎管狭窄的发生风险。糖尿病性腰骶神经根丛病作为糖尿病的并发症，表现为神经源性跛行、腰背痛和腿痛，临床上该疾病与腰椎椎管狭窄的症状性主诉极其相似，因此易导致误诊。越来越多的临床研究证明糖尿病对腰椎椎管狭窄患者术后感染率、再手术率以及术后生活质量均有显著影响。结论：明确糖尿病与腰椎椎管狭窄之间的关系，有助于优化诊疗方案，降低医疗风险。
Abstract: Objective: To investigate the association between diabetes mellitus (DM) and lumbar spinal stenosis (LSS). Methods: Published papers of studies related to dm and LSS were retrieved, and the relationship between the two was reviewed. Results: DM is one of the high-risk factors for LSS. A growing number of studies have demonstrated that DM may accelerate degenerative changes in intervertebral discs and ligamentum flavum, which may increase the risk of LSS. Diabetic lumbosacral radiculoplexus neuropathy, as a complication of DM, manifests as neurogenic claudication, low back pain, and leg pain. These symptoms closely overlap with the clinical manifestations of LSS, leading to misdiagnosis. An increasing number of clinical studies have demonstrated that DM significantly affects postoperative infection rates, reoperation rates, and postoperative quality of life in patients with LSS. Conclusion: Clarifying the relationship between DM and LSS can help to optimize the diagnosis and treatment plan and reduce clinical risks.
文章引用：王学宇, 李峰. 腰椎椎管狭窄与糖尿病的关联性研究进展[J]. 临床医学进展, 2025, 15(3): 1378-1385. https://doi.org/10.12677/acm.2025.153753

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