椎间盘造影CT分型在等离子消融术中的意义  

The significance of CT discography classification in Coblation

作　　者：李延荣[1] 蒋国强[2] 乐增年[2] 

机构地区：[1]宁波大学医学院,浙江宁波315211 [2]宁波大学医学院附属医院

出　　处：《中外医学研究》2010年第5期4-6,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨椎间盘造影CT分型在等离子消融术治疗盘源性腰痛中的意义。方法对35例单间隙椎间盘退变的腰痛患者行腰椎间盘造影及造影后CT扫描，并对造影图像进行Dallas分级。对造影阳性的椎间盘进行等离子消融手术，以VAS评分为疗效指标，比较不同Dallas分级的病变椎间盘治疗效果。结果正常椎间盘造影结果均为Dallas0～Ⅰ级，35例单间隙患者中，病变椎间盘DallasⅡ级18例，DallasⅢ级17例：术后1年VAS评分，35例患者平均（3．01±1．44）分，其中DallasⅡ级组为（2．44±1．26）分，Dal-lasⅢ级组为（3．62±1．40）分，且两组数据差异有统计学意义（P〈0．05）。结论等离子消融术是治疗盘源性腰痛的一种安全、有效的方法．且椎间盘造影DallasⅡ级患者的疗效优于DallasⅢ级.Objective To study the significance of CT discography classification in coblation for treating discogenic low back pain. Methods There were 35 cases of single - gap disc degeneration in patients with low back pain. All of them underwent CT discography and the images were classified with Dallas criterion. The positive discs were treated by coblation. Different Dallas classification discs treatment were compared with VAS socre. Results The results of all the normal discs were Dallas 0 - Ⅰ grade. For the disc degeneration patients, eighteen cases were Dallas Ⅱ grade and seventeen cases were Dallas Ⅲ grade. VAS score after 1 year for evaluating, the average score of 35 patients was （3.01 ± 1.44） points. Dallas Ⅱ and Ⅲ grade groups＇score were respectively（2.44 ± 1.26） points and （3.62 ±1. 40） points. The difference between the two groups of data were significantly （ P 〈 0.05 ）. Conclusion Coblation were a safe, effective treatment for diseogenie low back pain. Efficacy of Dallas Ⅱ grade patients were better than the Dallas m grade.

关 键 词：椎间盘造影 等离子消融术 盘源性腰痛 

分 类 号：R277.710.4[医药卫生—中医学]