神经根沉降征与腰椎管狭窄症患者手术意愿相关性研究
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摘要
目的:评价神经根沉降征与腰椎管狭窄症患者手术意愿相关性,探讨神经根沉降征判断腰椎管狭窄症严重程度及其作为腰椎管狭窄症手术治疗标准之一的可行性。方法:选取2017年6月—2018年6月在江门市五邑中医院住院治疗且明确诊断为腰椎管狭窄症(腰3/4、腰4/5)的患者120例,分别分析神经根沉降征阳性患者与神经根沉降征阴性患者手术意愿的相关性,且对2组患者的入院当天及建议手术时的VAS,JOA,ODI评分分析,组间比较采用t检验。结果:神经根沉降征阳性患者更意愿接受手术治疗,且2组患者的入院当天及建议手术时的VAS,JOA,ODI评分无差异。结论:神经根沉降征阳性患者的腰椎管狭窄症自我感觉程度较重,其可作为腰椎管狭窄症手术治疗的标准之一。
Objective: To evaluate the correlation of surgical intention between nerve root subsidence sign and patients with lumbar spinal stenosis, and to probe into the nerve root sedimentation sign in judging the severity of lumbar spinal stenosis and its feasibility as one of the criteria for surgical treatment of lumbar spinal stenosis. Methods: 120 cases of patients with lumbar spinal stenosis(L3/4, L4/5) and who treated and diagnosed in hospitalization in Wuyi Hospital of Traditional Chinese Medicine, Jiangmen City from June, 2017 to June, 2018 were selected.Then, the correlation of surgical intention between patients with positive nerve root sedimentation sign and patients with negative nerve root sedimentation sign were analyzed, and the VAS, JOA and ODI scores of the two groups on the day of admission and at the time of the recommended operation were analyzed, and t test was used for comparison between the two groups. Results: The patients with positive nerve root sedimentation sign were more willing to undergo surgical treatment.There was no difference in VAS, JOA and ODI scores between the two groups on the day of admission and at the time of recommended surgery. Conclusion:The degree of self-perception of lumbar spinal stenosis in patients with positive nerve root sedimentation sign is more serious, which can be used as one of the criteria for surgical treatment of lumbar spinal stenosis.
Objective: To evaluate the correlation of surgical intention between nerve root subsidence sign and patients with lumbar spinal stenosis, and to probe into the nerve root sedimentation sign in judging the severity of lumbar spinal stenosis and its feasibility as one of the criteria for surgical treatment of lumbar spinal stenosis. Methods: 120 cases of patients with lumbar spinal stenosis(L3/4, L4/5) and who treated and diagnosed in hospitalization in Wuyi Hospital of Traditional Chinese Medicine, Jiangmen City from June, 2017 to June, 2018 were selected.Then, the correlation of surgical intention between patients with positive nerve root sedimentation sign and patients with negative nerve root sedimentation sign were analyzed, and the VAS, JOA and ODI scores of the two groups on the day of admission and at the time of the recommended operation were analyzed, and t test was used for comparison between the two groups. Results: The patients with positive nerve root sedimentation sign were more willing to undergo surgical treatment.There was no difference in VAS, JOA and ODI scores between the two groups on the day of admission and at the time of recommended surgery. Conclusion:The degree of self-perception of lumbar spinal stenosis in patients with positive nerve root sedimentation sign is more serious, which can be used as one of the criteria for surgical treatment of lumbar spinal stenosis.
引文
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[6]郭旭升,智晓东.神经根沉降征对腰椎管狭窄患者术后的预测价值[J].医学与哲学,2016,37(6B):41-43.
[7]张楠,刘娜.神经根沉降征与重度中央型/混合型腰椎管狭窄受压节段硬膜囊横截面积变化相关性研究[J].中国脊柱脊髓杂志,2016,26(10):919-924.
[8]吕永威,郭继东,李利,等.腰椎管狭窄症伴神经根沉降征阳性患者的疗效观察[J].中国医刊,2016,51(8):34-37.
[9]敖鹏,吴添龙.神经根沉降征在腰椎管狭窄症术前术后的比较性研究[J].中国矫形外科杂志,2016,24(19):1735-1739.
[10]周孝文,姜宏.神经根沉降征在腰椎管狭窄症诊疗中的意义[J].颈腰痛杂志,2016,37(1):64-67.
[2]Barz T,Melloh M,Staub LP,et a1.Nerve root sedimentation sign:evaluation of a new radiological sign in lumbar spinal stenosis[J].Spine,2010,35(8):892-897.
[3]Barz T,Melloh M,Staub LP,et al.Nerve root sedimentation sign.Evaluation of a new radiological sign in lumbar spinal stenosis[J].Spine,2010,35:892-897.
[4]Amundsen T,Weber H,Nordal HJ,et a1.Lumbar spinal stenosis:conservative or surgical management a prospective 10一year study[J].Spine,2000,25(1 1):1424-1436.
[5]Fazal A.Yoo A.Bendo JA.Does the presence of the nerve root sedimentation sign on MRI correlate with the operative level in patients undergoing posterior lumbar decompression for lumbar stenosis.[J].Spine J,2013,l3(8):837-842.
[6]郭旭升,智晓东.神经根沉降征对腰椎管狭窄患者术后的预测价值[J].医学与哲学,2016,37(6B):41-43.
[7]张楠,刘娜.神经根沉降征与重度中央型/混合型腰椎管狭窄受压节段硬膜囊横截面积变化相关性研究[J].中国脊柱脊髓杂志,2016,26(10):919-924.
[8]吕永威,郭继东,李利,等.腰椎管狭窄症伴神经根沉降征阳性患者的疗效观察[J].中国医刊,2016,51(8):34-37.
[9]敖鹏,吴添龙.神经根沉降征在腰椎管狭窄症术前术后的比较性研究[J].中国矫形外科杂志,2016,24(19):1735-1739.
[10]周孝文,姜宏.神经根沉降征在腰椎管狭窄症诊疗中的意义[J].颈腰痛杂志,2016,37(1):64-67.