摘要
目的了解腰神经根封闭术对责任间隙的定位是否具有特异性及敏感性。方法对影像学检查与临床症状、体征不一致的多节段腰椎间盘突出症和/或腰椎管狭窄症患者常规手术前行腰神经根封闭诊断性治疗。结果 30例90个腰椎间盘突出和/或腰椎管狭窄间隙经封闭诊断性治疗后,需要常规手术处理的间隙降为68个(75.56%),差异有统计学意义(P<0.05),同时术前、术后VAS及JOA评分差异有统计学意义(P<0.05),患者术后获得良好的临床效果。结论腰神经根封闭术对责任间隙的定位具有特异性及敏感性,在保证临床效果上,减少了对脊柱的破坏,同时降低了围手术期风险,有利于患者术后恢复。
Objective To understand whether the lumbar nerve root closed surgery has specificity and sensitivity for the liability gap. Methods Multi-segment lumbar disc herniatior and(or) lumber spinal stenosis patients with different magings, clinical symptoms,signs accepted lumber nerve root closed surgery before regular operation. Results After closing the gap di-agnostic treatment,among 90 (30 cases)lumber disc herniatior and(or) lumber spinal stenosis liability gaps,68 liability gaps needed regular operation. The difference was statistically significant (P<0.05), while pre-and postoperative VAS and JOA scores were significantly different, patients got good clinical results. Conclusion Lumbar nerve root closed surgery has sensitivity and specificity for locating liability gap,on the assurance of clinical effect,it reduces the damage to the spine, maintains the sta-bility of the spine, reduces the risk of perioperative, benefits for postoperative recovery.
出处
《中国现代医药杂志》
2016年第8期39-41,共3页
Modern Medicine Journal of China
关键词
腰椎间盘突出症
腰椎管狭窄症
腰神经根封闭术
精准减压
多节段
Lumbar disc herniation
Lumbar spinal stenosis
Lumbar nerve root closed surgery
Precision reduced pressure
Multi-segment
