Alaranta H, Hurme M, Einola S, Falck B, Kallio V, Knuts L R, Lahtela K, Törmä T
Social Insurance Institution, Turku City Hospital, Finland.
Spine (Phila Pa 1976). 1990 Dec;15(12):1345-9.
The prospective study included 122 sciatica patients who had not undergone operation (NOPs) and 220 sciatica patients who had undergone operation (OPs); all had been examined by rhizography. The follow-up study was done on 110 (90%) of the NOPs and 212 (96%) of the OPs. The NOPs were divided into two groups: 30 patients with pathologic rhizography (PR) and 80 patients with negative rhizography (NR). Pain-, ADL-, and occupation-handicap indices showed that after the 1 year follow-up the OP group had the best result and the NR group the lowest result. The PR group had nearly as good a result as the OP group. Thus, sciatica patients are candidates for conservative therapy, even though they have pathologic findings in rhizography, if the symptoms are mild. To improve therapeutic outcome, more accurate diagnostic tools are needed to develop specific therapy especially for those sciatica patients with negative rhizography.
这项前瞻性研究纳入了122例未接受手术的坐骨神经痛患者（NOPs）和220例接受过手术的坐骨神经痛患者（OPs）；所有患者均接受了神经根造影检查。对110例（90%）NOPs患者和212例（96%）OPs患者进行了随访研究。NOPs患者被分为两组：30例神经根造影病理改变（PR）患者和80例神经根造影阴性（NR）患者。疼痛、日常生活活动能力（ADL）和职业障碍指数显示，随访1年后，OP组效果最佳，NR组效果最差。PR组的效果与OP组相近。因此，即使坐骨神经痛患者在神经根造影中有病理表现，但如果症状较轻，他们也是保守治疗的候选对象。为了改善治疗效果，需要更准确的诊断工具来制定针对性的治疗方案，尤其是对于那些神经根造影阴性的坐骨神经痛患者。
