椎间盘源性腰痛的诊断及手术治疗

The diagnosis and treatment of discogenic low back pain

中文关键词:  椎间盘源性腰痛  椎间盘造影  后路椎体间融合

英文关键词:Disogenic low back pain,Discography,Posterior lumber verteral fusion

中文摘要:

  目的:分析和总结椎间盘源性腰痛的诊断及手术疗效。方法:对50例腰痛患者应用MRI及椎间盘造影进行术前检查,并对确诊患者行后路病变节段的椎间盘切除、椎间融合、椎弓根螺钉内固定术手术治疗,对治疗结果作回顾性分析。结果:39例确诊患者经治疗后,效果确切,优良率92.3%。统计学结果显示,术前MRI信号改变,包括高信号(HIZ)现象以及终板信号改变,与椎间盘造影阳性的结果在本组患者中显示有较高相关性。结论:MRI、椎间盘造影可为椎间盘源性腰痛的诊断提供重要的依据;后路椎间盘切除、椎体间融合、椎弓根螺钉内固定术治疗椎间盘源性腰痛疗效确切。

英文摘要:

  Objective:To study diagnosis and treatment of discogenic low back pain.Method:50 cases with clinical suspicion of low back pain were examined by MRI and discography.The results were analyzed retrospectively.Result:High intensity zone(HIZ) and signal chang