Hao Ding-jun, Liu Tuan-jiang, Wu Qi-ning, He Bao-rong
Department of Spine Surgery, Xi'an Red Cross Hospital, Xi'an 710054, China.
Zhonghua Wai Ke Za Zhi. 2006 Dec 15;44(24):1675-7.
To investigate the diagnostic value of lumbar discography in discogenic low back pain and the effects of intervertebral fusion surgery.
Forty-five cases with 101 discs underwent discography, 360 degree fusion manipulation were performed on 18 discography abnormal cases, 27 cases were treated conservatively. Discography, MRI and provocative pain were observed and all the cases were followed up.
Twenty-one cases showed positive provocative pain (21/45, 47%), and 21 discs of 101 were concordant discography (21/101, 21%). All cases were followed up for an average 16 months (15 to 23 months), the satisfactory rate was 83% (15/18) in the surgery group and 41% (11/27) in the conservative group.
It is concluded that the discography is moderately sensitive in the diagnosis of discogenic low back pain. Furthermore, the short term follow-up reveals that operative group has better pain relief than conservative group.
探讨腰椎间盘造影术在椎间盘源性下腰痛诊断中的价值及椎间融合手术的效果。
对45例共101个椎间盘进行椎间盘造影术，对18例椎间盘造影异常的病例实施360度融合手术，27例进行保守治疗。观察椎间盘造影、磁共振成像（MRI）及激发性疼痛情况，并对所有病例进行随访。
21例激发性疼痛呈阳性（21/45，47%），101个椎间盘中21个椎间盘造影结果一致（21/101，21%）。所有病例平均随访16个月（15至23个月），手术组满意率为83%（15/18），保守治疗组为41%（11/27）。
得出结论，椎间盘造影术在椎间盘源性下腰痛的诊断中具有中等敏感性。此外，短期随访显示手术组比保守治疗组的疼痛缓解效果更好。
