腰椎功能位活动度X片对腰椎间盘突出症的疗效评价

The clinical evaluation of curative effect of lumbar intervertebral disc herniation throughthe lumbar functional X-ray fdms changes

目的探讨腰椎功能位x片活动度用于腰椎间盘突出症的疗效评价作用。方法对68例腰椎间盘突出症患者进行腰椎功能障碍指数（ODD及腰椎功能位x片（左右侧屈、前后屈伸及左右旋转）测量，并进行分析比较，观察腰椎x片活动度测量与腰椎功能障碍改善的相关程度。结果①腰椎间盘突出症患者治疗前ODI评分为（31．18±6．96）分，治疗后为（7．74±7．26）分，治疗前后比较，差异有统计学意义（t=22．676，P〈0．01）。②治疗前后前屈角度[分别为（17．40±6．46）。、（22．22±8．15）。]、后伸角度[分别为（11．49±6．45）。、（20．06±8．04）。]、左侧屈角度[分别为（13．81±7．58）。、（21．31±7．25）。]、右侧屈角度[分别为（13．75±6．14）。、（21．06±6．67）。]、左旋角度[分别为（15．28±8．03）。、（16．63±8．06）。]比较，差异均有统计学意义（P〈0．01）；右旋角度[分别为（16．87±9．21）。、（17．59±10．00）。]治疗前后比较，差异无统计学意义（P〉0．05）。③经X片腰椎活动度差值与ODI评分差值的pearson相关分析认为，前屈活动度的改善与疗效密切相关。结论腰椎间盘突出症前屈活动度的改善是疗效评价的重要指标。

Objective To study lumbar functional X-ray films （flexion-extension, lateral flexion and rotation） in the evaluation of curative effect of Lumbar intervertebral disc herniation. Methods Lumbar dysfunction index （ODI） and lumbar functional X-ray films （flexion- extension, lateral flexion and rotation） were measured in 68 cases of patients with Lumbar intervertebral disc herniation. Statistical analysis and comparison were performed to observe the relationship between lumbar X-ray films activity measurement and lumbar dysfunction improvement. Results ① ODI score of lumbar disc herniation patients was （31.18±6.96） before treatment and （7.74±7.26） after treatment, the difference was statistically significant （t=22.676, P〈 0.01）.②Anti-flexion angle, post-extension angle, left and right lateral flexion angle, left-rotation angle showed statistical difference before and after the treatment （t=-9.262, - 16.664, - 14.445, - 14.494, - 20.012, P〈0.01）; while difference of right-rotation angle before and after the treatment was not statistically significant （t=1.534, P〉0.05）. ③ X-ray lumbar spine mobility difference and ODI score difference of Pearson correlation analysis demonstrated that flexion range improvement was closely related with the therapeutic effect, it was an important index in the evaluation of curative effect. Conclusion Lumbar disc herniation flexion range improvement is an important index in the evaluation of cuzative effect.