Hurme M, Alaranta H, Einola S, Falck B, Kallio V, Knuts L R, Lahtela K, Törmä T
Turku City Hospital, Finland.
Spine (Phila Pa 1976). 1990 Dec;15(12):1340-4.
Based on a prospective study on 342 sciatica patients examined with rhizography, the aim was to determine which factors others than the rhizography finding and the grade and duration of symptoms were related to the selection of patients to undergo operation. Compared with surgically treated patients, conservatively treated patients who did not undergo operation and who had pathologic rhizography findings had pessimistic attitudes to possible surgery, often expressed a desire to retire, and considered their work as physically stressful. The women in this group were older and had lower pain indices than women who underwent operation. Conservatively treated patients with negative rhizography had more severe occupational handicaps, minor expectations of possible surgery, physically more strenuous jobs requiring difficult physical positions, and lower indices for pain and ADL than did the operated patients. The social and ergonomic background problems are emphasized in sciatica patients conservatively treated after rhizography.
基于一项对342例接受神经根造影检查的坐骨神经痛患者的前瞻性研究，目的是确定除神经根造影检查结果、症状分级和持续时间之外，还有哪些因素与选择接受手术的患者有关。与接受手术治疗的患者相比，未接受手术且神经根造影检查结果异常的保守治疗患者对可能的手术持悲观态度，常表示有退休意愿，并认为其工作对身体压力较大。该组中的女性年龄较大，疼痛指数低于接受手术的女性。神经根造影检查结果为阴性的保守治疗患者比接受手术的患者有更严重的职业障碍、对可能手术的期望较小、从事需要困难身体姿势的体力要求更高的工作，且疼痛和日常生活活动指数更低。神经根造影检查后接受保守治疗的坐骨神经痛患者中，社会和人体工程学背景问题较为突出。
