Wiltse L L, Rocchio P D
J Bone Joint Surg Am. 1975 Jun;57(4):478-83.
Pre-injection psychological test scores, surgeon ratings, and patient biographical data were evaluated as predictors of success of chymopapain injection therapy in 130 patients who would otherwise have been treated by laminectomy. Three psychological tests were administered to each patient: the Minnesota Multiphasic Personality Inventory, the Cornell Medical Index, and the Quick Test (a measure of mental ability). In addition, the surgeons rated their patients on a five-point scale immediately after injection relative to their suitability for injection therapy and at one year relative to the objective and symptomatic results. The MMPI hysteria and hypochondriasis scales and the surgeon's rating of the psychogenic component of the patient's pain were predictive of the result of chemonucleolysis. The patient's biographical data which consisted of age, sex, marital status, occupation, and education were not related to postoperative outcome.
对130例原本需接受椎板切除术的患者，术前心理测试分数、外科医生评分及患者个人资料被评估为木瓜凝乳蛋白酶注射疗法成功的预测指标。对每位患者进行了三项心理测试：明尼苏达多相人格调查表、康奈尔医学指数和快速测验（一种智力测试）。此外，外科医生在注射后立即根据患者对注射疗法的适宜性用五点量表对其进行评分，并在一年后根据客观和症状结果进行评分。明尼苏达多相人格调查表的癔症和疑病症量表以及外科医生对患者疼痛心理成因部分的评分可预测化学溶核术的结果。患者的个人资料包括年龄、性别、婚姻状况、职业和教育程度，与术后结果无关。
