Albeck M J, Danneskiold-Samsøe B
University Clinic of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.
Acta Neurochir (Wien). 1995;133(1-2):3-6. doi: 10.1007/BF01404939.
In reports of diagnostic methods in disorders of the spine focus is centred on diagnostic resolution, while psychological effects and patients' discomfort are often disregarded. To get a comprehensive picture of the appropriateness of a new technology the latter factors need to be explored and included in an assessment. In a prospective study, eight patients with signs of lumbar disc herniation underwent myelography, computed tomography and magnetic resonance imaging. A structured patient interview on attitudes to these technologies was carried out after all three examinations had been carried out. Myelography was most often reported painful and unpleasant among the three modalities. Discomfort due to magnetic resonance imaging stem from the narrow calibre of the machine and the noise. In computed tomography immobilization was the main reason for discomfort. Altogether most patients preferred computed tomography. In view of the fact that myelography must be considered as diagnostically inferior to the other two examinations, the reported discomfort from myelography indicates that computed tomography and magnetic resonance imaging should be the primary examinations for patients with lumbar disc herniation.
在有关脊柱疾病诊断方法的报告中，重点都集中在诊断分辨率上，而心理影响和患者的不适往往被忽视。为了全面了解一项新技术的适用性，需要探究并将后两个因素纳入评估。在一项前瞻性研究中，8名有腰椎间盘突出症迹象的患者接受了脊髓造影、计算机断层扫描和磁共振成像检查。在三项检查全部完成后，对患者进行了关于对这些技术态度的结构化访谈。在这三种检查方式中，脊髓造影最常被报告为疼痛且令人不适。磁共振成像带来的不适源于机器孔径狭窄和噪音。在计算机断层扫描中，固定身体是造成不适的主要原因。总体而言，大多数患者更喜欢计算机断层扫描。鉴于脊髓造影在诊断上必须被认为不如其他两项检查，所报告的脊髓造影带来的不适表明，计算机断层扫描和磁共振成像应该是腰椎间盘突出症患者的首选检查。
