[1]刘潇,杨立文,王建辉,等.腰椎动态试验在经皮穿刺椎间盘摘除术中的应用价值[J].介入放射学杂志,2007,(03):177.
 LIU Xiao,YANG Li-wen,WANG Jian-hui,et al.The value of the dynamic mechanical spinal test in the management of automated percutaneous lumbar discectomy[J].journal interventional radiology,2007,(03):177.
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腰椎动态试验在经皮穿刺椎间盘摘除术中的应用价值()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2007年03期
页码:
177
栏目:
非血管介入
出版日期:
2007-03-15

文章信息/Info

Title:
The value of the dynamic mechanical spinal test in the management of automated percutaneous lumbar discectomy
作者:
刘潇杨立文王建辉
330001南昌武警江西省总队医院放射科(刘潇、王建辉、段早辉、徐志涛),外科(杨立文)
Author(s):
LIU XiaoYANG Li-wenWANG Jian-huiDUAN Zao-huiXU Zhi-tao
Department of Radiology,Jiangxi Corps Hospital of Chinese PAP Forces,Nanchang330001,China
关键词:
腰椎椎间盘突出腰椎动态试验椎间盘摘除经皮
分类号:
R681.53
文献标志码:
A
摘要:
目的探讨腰椎动态试验对预测经皮穿刺椎间盘摘除术(PLD)疗效的价值。方法CT、MRI检查证实的“包容性”腰椎间盘突出症109例;PLD前1d进行腰椎动态试验,根据发生症状向心化现象(CP)、症状部分向心化现象(PCP)、症状非向心化现象(NCP)分为3组,其中CP组46例,PCP组43例,NCP组20例,各组均行PLD治疗并分别进行疗效统计,用χ 2 检验比较3组间的疗效。结果PLD术后随访3~6个月统计疗效。CP组,优24例、良22例,优良率100%;PCP组PLD疗效,优5例、良29例、可+差9例,优良率79.1%;NCP组PLD优良率0,3组间疗效有显著性差异(χ 2 =72.59,P<0.005)。结论腰椎动态试验发生“CP”现象者,PLD疗效显著;发生“NCP”者PLD疗效差,应行外科手术治疗

参考文献/References:

[1]滕皋军,主编.经皮腰椎间盘摘除术[M].南京:江苏科学技术出版社,2000:127-132.
[2]中华放射学杂志编委会骨组.经皮腰椎间盘摘除术规范化条例(草案)[J].中华放射学杂志,2002,36:380-381.
[3]Kambin P,Brager MD.Percutaneous posterolateral discectomy.Anatomy and mechanism[J].Clin Orthop Relat Res,1987,223:145-154.
[4]张学新,吉效东,曹金凤,等.包容性腰椎间盘突出症的经皮摘除术[J].介入放射学杂志,2001,10:155-156.
[5]Donelson R,Aprill C,Medcalf R,et al.A Prospective study of centralization of lumbar and referred pain[J].Spine,1997,22:1115-1122.
[6]李红,张在沛.椎管造影在椎间盘突出症诊断和PLD治疗中的价值[J].临床放射学杂志,2000,19:582-583.
[7]王如林,欧阳甲,蒋国强,等.腰椎间盘纤维环膨隆症站立位动态脊髓造影的临床意义[J].宁波大学学报,2001,14:73-76.
[8]唐科,薛金山,张文,等.动态脊髓造影诊断腰椎间盘突出症[J].中国脊柱脊髓杂志,2003,13:395-397.
[9]MacNab I.Negative disc exploration.An analysis of the causes of nerve-root involement in68patients[J].J Bone Joint Surg(Am),1971,53:891-903.
[10]Donelson R,Silva G,Murphy K.The centralization phenome-non:Its usefulness in evaluating and treating referred pain[J].Spine,1990,15:211-213.
[11]Wetzel FT,Donelson R.The role of repeated end-range/pain res-ponse assessment in the management of symptomatic lumbar discs[J].Spine,2003,23:146-154.

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备注/Memo

备注/Memo:
收稿日期:2006-06-21
更新日期/Last Update: 2007-03-15