腰椎间盘突出症患者CT影像学特征与病情、疗效的关系

Relationship between CT Imaging Features,Condition and Curative Effect of Patients with Lumbar Disc Herniation

本研究探讨腰椎间盘突出症患者中,CT影像学特征与症状严重程度、疗效的关系。选取腰椎间盘突出症患者120例,所有患者均给予保守治疗。Logistic回归分析显示:髓核突出类型、额状位突出大小、水平面突出大小、压迫神经根方式是中重度患者的影响因素(P<0.05)。治疗有效患者平均年龄低于治疗无效患者(P<0.05)。治疗无效患者中重度、髓核突出游离椎管内、额状位突出c~d域、水平面突出3~4区,神经根受压或粘连,硬膜囊受压移位比例高于治疗有效患者(P<0.05)。在腰椎间盘突出症患者中,CT影像学特征与严重程度、治疗效果有一定关系。

This study investigated the relationship between CT imaging features,symptom severity and curative effect in patients with lumbar disc herniation.120 patients with lumbar disc herniation treated were selected.All patients were given conservative treatment.Logistic regression analysis showed that the type of nucleus pulposus protrusion,the size of frontal protrusion,the size of horizontal protrusion and the way of nerve root compression were the influencing factors of moderate and severe patients(P<0.05).The age of effective patients was lower than that of ineffective patients(P<0.05).The patients with moderate and severe,nucleus pulposus free spinal canal,frontal protrusion c-d domain,horizontal protrusion 3-4 areas,nerve root compression or adhesion,and dural sac compression and displacement of patients with ineffective treatment were higher than those with effective treatment(P<0.05).In patients with lumbar disc herniation,CT imaging features are related to severity and treatment effect.