干旱区生态环境知识资源中心(Arid): 腰椎间盘造影在椎间盘源性腰痛诊治中的应用

Arid

	腰椎间盘造影在椎间盘源性腰痛诊治中的应用
其他题名	The application of lumbar discography in the diagnosis and treatment of the discogenic low back pain
	郝定均; 刘团江; 吴起宁; 贺宝荣
ISSN	0529-5815
出版年	2006
卷号	44 期号:24 页码:1675-1677
中文摘要	目的应用椎间盘造影对椎间盘源性腰痛进行诊断并评价椎间融合手术的疗效.方法 2003年10月-2004年6月间对45例具有椎间盘源性腰痛症状的患者进行了椎间盘造影,共101个椎间盘.所有病例全部进行了MRI 和CT检查.观察造影图像和MRI表现,记录诱发痛、手术和保守治疗的疗效.结果 45例患者中21例出现了诱发痛(47%),101个造影椎间盘中有21个椎间盘出现诱发痛(21%);21例诱发痛阳性患者中18例接受了360°融合手术,随访时间平均16个月(15～23个月),术后11例患者腰痛完全消失(11/18,优:61%),4例疼痛基本消失(4/18,良:22%),3例腰痛无变化(3/18,差:17%);3例诱发痛阳性患者和24例诱发痛阴性患者行保守治疗,在同期随访中,1例腰痛完全消失(1/27,优:4%),10例疼痛基本消失(10/27,良:37%),16例疼痛无变化甚至加重(16/27,差:59%).结论腰椎间盘造影对椎间盘源性腰痛的诊断具有一定的敏感性,但不是一个特异性诊断方法;对确定为疼痛原因的椎间隙实施椎间360°融合手术可以消除患者的疼痛,中期效果好.
英文摘要	Objective To investigate the diagnostic value of lumbar discography in discogenic low back pain and the effects of intervertebral fusion surgery. Methods Forty-five cases with 101 discs underwent discography, 360 degree fusion manipulation were performed on 18 discography abnormal cases, 27 cases were treated conservatively. Discography, MR1 and provocative pain were observed and all the cases were followed up. Results Twenty-one cases showed positive provocative pain (21/45,47%), and 21 discs of 101 were concordant discography (21/101,21%). All oases were followed up for an average 16 months (15 to 23 months), the satisfactory rate was 83% (15/18) in the surgery group and 41% (11/27) in the conservative group. Conclusions It is concluded that the discography is moderately sensitive in the diagnosis of discogenic low back pain. Furthermore, the short term follow-up reveals that operative group has better pain relief than conservative group.
中文关键词	腰痛 ; 椎间盘 ; 腰椎间盘造影 ; 椎间融合术
英文关键词	Low back pain Inlervertebra disk Discography Intervertebral fusion surgery
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:2656954
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/220550
作者单位	西安市红十字会医院脊柱外科, 710054
推荐引用方式 GB/T 7714	郝定均,刘团江,吴起宁,等. 腰椎间盘造影在椎间盘源性腰痛诊治中的应用[J],2006,44(24):1675-1677.
APA	郝定均,刘团江,吴起宁,&贺宝荣.(2006).腰椎间盘造影在椎间盘源性腰痛诊治中的应用.,44(24),1675-1677.
MLA	郝定均,et al."腰椎间盘造影在椎间盘源性腰痛诊治中的应用".44.24(2006):1675-1677.