CAJ | 학술논문

目的：评估CT引导下药物介入治疗盘源性腰腿痛急性发作近期和中期疗效，探讨影响疗效的相关因素。方法2010-05-2013-03对我院康复门诊58例盘源性腰腿痛急性发作患者行CT引导下药物介入治疗，疗效评价采用Macnab标准和汉化Oswestry功能障碍指数（ODI）。采用多元logistic回归分析患者年龄、靶层面突出分型、急慢性病程长短和介入次数等对疗效结局的影响。结果术后1月、6月、1年和2年随访与治疗前比较，患者改良Oswestry功能障碍指数各条目及ODI总分有逐渐降低的趋势，差异有统计学意义（P＜0.01）。患者年龄、靶层面突出分型、急慢性病程长短和介入次数等尚不构成影响介入预期疗效的独立危险因子（P＞0.05）。结论 CT引导下药物介入治疗是值得尝试和推荐的有效治疗手段，中期疗效稳定。
목적：평고CT인도하약물개입치료반원성요퇴통급성발작근기화중기료효，탐토영향료효적상관인소。방법2010-05-2013-03대아원강복문진58례반원성요퇴통급성발작환자행CT인도하약물개입치료，료효평개채용Macnab표준화한화Oswestry공능장애지수（ODI）。채용다원logistic회귀분석환자년령、파층면돌출분형、급만성병정장단화개입차수등대료효결국적영향。결과술후1월、6월、1년화2년수방여치료전비교，환자개량Oswestry공능장애지수각조목급ODI총분유축점강저적추세，차이유통계학의의（P＜0.01）。환자년령、파층면돌출분형、급만성병정장단화개입차수등상불구성영향개입예기료효적독립위험인자（P＞0.05）。결론 CT인도하약물개입치료시치득상시화추천적유효치료수단，중기료효은정。
Objective To evaluate the curative effect of CT-guided interventional injection treat-ment for acute discogenic lumbago-leg pain and analysize the prognostic factors. Methods Fifty-eight patients involved with discogenic lower back pain and radical leg pain were undergone CT-guided interventional injection treatment from May 2010 to March 2013. Macnab criteria and Chi-nese version of Oswestry low back pain disability questionnaire were used to assess the curative effect. The prognostic factors,such as age,herniation type of target segment,acute and chronic course time,and intervention times were testified by using multiple logistic regression analysis. Re-sults There were statistically decreased trend in ODI scores in the follow-ups at 1,6,12,24 months (P<0.01). There were not yet got statistically significant risk factors predicting clinical re-sults (P>0.05). conclusion CT-guided interventional injection was valuably recommended effective treatment for acute discogenic lumbago-leg pain,that it had got favorable mid-term outcomes.