中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
10期
1060-1062
,共3页
神经根沉降症%腰椎管狭窄症%非特异性下腰痛%诊断价值
神經根沉降癥%腰椎管狹窄癥%非特異性下腰痛%診斷價值
신경근침강증%요추관협착증%비특이성하요통%진단개치
Nerve root sedimentation disease%Lumbar spinal stenosis%Nonspecific low back pain%Diagnostic value
目的 探讨神经根沉降症对症状性腰椎管狭窄症(LSS)和非特异性下腰痛(LBP)患者的诊断价值.方法 将2010年1月至2013年6月来我院住院或门诊治疗的腰腿痛的180例患者分为LSS组和LBP组,每组患者90例.对比两组患者神经根沉降所出现的概率.结果 在LSS组中神经根沉降症有84例(93.3％,84/90),而LBP组无神经根沉降症发生,两组比较差异有统计学意义(P=0.000);两组疼痛视觉模拟评分(VAS)的比较差异无统计学意义(P＞0.05);LSS组的Oswestry功能障碍指数(ODI)低于LBP组(0.60±0.05与0.66±0.06),两组比较差异有统计学意义(P=0.021);LSS组的代表性区域面积(CSA)(68.9±7.0) mm2显著低于LBP组(168.2±13.8) mm2,两组比较差异有统计学意义(t =26.173,P=0.000);ODI与CSA两者之间无显著的相关性(r=0.18,P=0.098).结论 阳性的神经根沉降症较高地出现于LSS患者中,阳性的神经根沉降症可以作为诊断LSS的参考指标.
目的 探討神經根沉降癥對癥狀性腰椎管狹窄癥(LSS)和非特異性下腰痛(LBP)患者的診斷價值.方法 將2010年1月至2013年6月來我院住院或門診治療的腰腿痛的180例患者分為LSS組和LBP組,每組患者90例.對比兩組患者神經根沉降所齣現的概率.結果 在LSS組中神經根沉降癥有84例(93.3％,84/90),而LBP組無神經根沉降癥髮生,兩組比較差異有統計學意義(P=0.000);兩組疼痛視覺模擬評分(VAS)的比較差異無統計學意義(P＞0.05);LSS組的Oswestry功能障礙指數(ODI)低于LBP組(0.60±0.05與0.66±0.06),兩組比較差異有統計學意義(P=0.021);LSS組的代錶性區域麵積(CSA)(68.9±7.0) mm2顯著低于LBP組(168.2±13.8) mm2,兩組比較差異有統計學意義(t =26.173,P=0.000);ODI與CSA兩者之間無顯著的相關性(r=0.18,P=0.098).結論 暘性的神經根沉降癥較高地齣現于LSS患者中,暘性的神經根沉降癥可以作為診斷LSS的參攷指標.
목적 탐토신경근침강증대증상성요추관협착증(LSS)화비특이성하요통(LBP)환자적진단개치.방법 장2010년1월지2013년6월래아원주원혹문진치료적요퇴통적180례환자분위LSS조화LBP조,매조환자90례.대비량조환자신경근침강소출현적개솔.결과 재LSS조중신경근침강증유84례(93.3％,84/90),이LBP조무신경근침강증발생,량조비교차이유통계학의의(P=0.000);량조동통시각모의평분(VAS)적비교차이무통계학의의(P＞0.05);LSS조적Oswestry공능장애지수(ODI)저우LBP조(0.60±0.05여0.66±0.06),량조비교차이유통계학의의(P=0.021);LSS조적대표성구역면적(CSA)(68.9±7.0) mm2현저저우LBP조(168.2±13.8) mm2,량조비교차이유통계학의의(t =26.173,P=0.000);ODI여CSA량자지간무현저적상관성(r=0.18,P=0.098).결론 양성적신경근침강증교고지출현우LSS환자중,양성적신경근침강증가이작위진단LSS적삼고지표.
Objective To explore the diagnostic value of nerve root sedimentation disease to symptomatic lumbar spinal stenosis (LSS) and nonspecific low back pain(LBP).Methods One hundred and eighty lumbocrural pain patients in the People's Hospital of Binzhou from Jan.2010 to Jun.2013 were divided into LSS group and LBP group,and 90 patients in each group.The rate of nerve root sedimentation in two groups was recorded.Results There were 84 cases(93.3％) with positive nerve root sedimentation in group LSS,while 0 case in LBP group,and the difference was significant (P =0.000).The pain visual analogue score (VAS) between the two groups were no significant difference (P ＞ 0.05).The Oswestry disability index (ODI) in LSS group was (60.3 ± 5.1) ％,lower than that in LBP group (66.4 ± 6.3) ％,and the difference was statistically significant (P =0.021).Cross-sectional area (CSA) of the LSS group was (68.9 ± 7.0) mm2,lower than that in LBP group ((168.2 ± 13.8) mm2),and the difference was statistically significant (t =26.173,P =0.000).There was no significant correlation between ODI and CSA (r =0.18,P =0.098).Conclusion The nerve root sedimentation disease is higher in LSS patients and positive of sedimentation disease can serve as a diagnosed marker of LSS.
