Resnick Daniel K, Malone David G, Ryken Timothy C
Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin 53792, USA.
Neurosurg Focus. 2002 Aug 15;13(2):E12. doi: 10.3171/foc.2002.13.2.13.
Discography has been used as a diagnostic test in the evaluation of patients with recalcitrant low-back pain. Recently, its usefulness has been questioned because of the occurrence of false-positive results as well as the influence of psychological factors on test results. The purpose of this review is to establish the literature support for and against the use of discography. A search of the English-language literature published between 1966 and 2001 was performed. Papers were selected based on inclusion criteria described in the text, and the quality of information was graded using previously described methods.
The authors propose a set of practice parameters based on the literature. Although the data were not judged adequate for the determination of a treatment standard, parameters for the use of discography are provided at a guideline and option level.
椎间盘造影术一直被用作评估顽固性下腰痛患者的诊断性检查。近来，由于出现假阳性结果以及心理因素对检查结果的影响，其效用受到质疑。本综述的目的是确立支持和反对使用椎间盘造影术的文献依据。检索了1966年至2001年间发表的英文文献。根据文中所述的纳入标准选择论文，并使用先前描述的方法对信息质量进行分级。
作者基于文献提出了一套实践参数。尽管这些数据不足以确定治疗标准，但在指南和可选层面提供了使用椎间盘造影术的参数。
