作　　者： (）;

机构地区： 江门市五邑中医院

出　　处： 《中医药临床杂志》 2019年第3期501-504,共4页

摘　　要： 目的:评价神经根沉降征与腰椎管狭窄症患者手术意愿相关性,探讨神经根沉降征判断腰椎管狭窄症严重程度及其作为腰椎管狭窄症手术治疗标准之一的可行性。方法:选取2017年6月—2018年6月在江门市五邑中医院住院治疗且明确诊断为腰椎管狭窄症(腰3/4、腰4/5)的患者120例,分别分析神经根沉降征阳性患者与神经根沉降征阴性患者手术意愿的相关性,且对2组患者的入院当天及建议手术时的VAS,JOA,ODI评分分析,组间比较采用t检验。结果:神经根沉降征阳性患者更意愿接受手术治疗,且2组患者的入院当天及建议手术时的VAS,JOA,ODI评分无差异。结论:神经根沉降征阳性患者的腰椎管狭窄症自我感觉程度较重,其可作为腰椎管狭窄症手术治疗的标准之一。 Objective: To evaluate the correlation of surgical intention between nerve root subsidence sign and patients with lumbar spinal stenosis, and to probe into the nerve root sedimentation sign in judging the severity of lumbar spinal stenosis and its feasibility as one of the criteria for surgical treatment of lumbar spinal stenosis. Methods: 120 cases of patients with lumbar spinal stenosis (L3/4. L4/5) and who treated and diagnosed in hospitalization in Wuyi Hospital of Traditional Chinese Medicine, Jiangmen City from June, 2017 to June, 2018 were selected.Then, the correlation of surgical intention between patients with positive nerve root sedimentation sign and patients with negative nerve root sedimentation sign were analyzed, and the VAS, JOA and ODI scores of the two groups on the day of admission and at the time of the recommended operation were analyzed, and t test was used for comparison between the two groups. Results: The patients with positive nerve root sedimentation sign were more willing to undergo surgical treatment.There was no (liffFrence in VAS, JOA and ODI scores between the two groups on the day of admission and at the time of recommended surgery. Conclusion: The degree of self-perception of lumbar spinal stenosis in patients with positive nerve root sedimentation sign is more serious, which can he used as one of the criteria for surgical treatment of lumbar spinal stenosis.

关 键 词： 腰椎管狭窄症 神经根沉降征 手术意愿

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