神经根沉降征在腰椎管狭窄症术前术后的比较性研究Diagnostic value of nerve root sedimentation sign in lumbar spinal stenosis treatment
敖鹏;吴添龙;张磊磊;李建;姚玉龙;邓中博;程子韵;程细高;
摘要(Abstract):
[目的]探讨神经根沉降征在腰椎管狭窄症术后的价值以及手术前后神经根沉降征的改变与手术疗效的关系。[方法]选择2012年2月~2014年2月因腰腿痛或间歇性跛行于本院就诊住院并且行手术治疗的患者362例进行电话等形式的回访。共收集到来院进行术后MRI复查的患者37例。平均年龄46.3岁:其中男16例,女21例。86.5%的患者病变节段位于L_(4、5)椎间盘,8.1%位于L_(3、4)椎间盘,5.4%位于L_(2、3)椎间盘。记录患者术前术后JOA评分、VAS评分、Oswestry功能障碍指数并进行比较。[结果]术后复查患者术前神经根沉降征阳性35例,假阴性2例,术后神经根沉降征阴性37例。神经根沉降征阳性者术后JOA评分、VAS评分、ODI评分与术前相比,差异有统计学意义(P<0.05)。[结论]神经根沉降征在腰椎管狭窄术后诊断依然适用;术前神经根沉降征阳性诊断的腰椎管狭窄节段行手术治疗后复查MRI见神经根沉降征阴性且患者症状明显好转。
关键词(KeyWords): 磁共振;神经根沉降征;腰椎管狭窄;术后
基金项目(Foundation): 国家自然科学基金项目(编号:81060147)
作者(Author): 敖鹏;吴添龙;张磊磊;李建;姚玉龙;邓中博;程子韵;程细高;
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