| Objective:by studying the clinical manifestation and nerve root root lumbocrural pain channel and the correlation between the height of the vertebral bodies change, root to the diagnosis of lumbocrural pain when and provide reliable basis for the application of minimally invasive technique in treatment of root lumbocrural pain when provide feasible Suggestions for the selection of surgical approach;Through the root lumbocrural pain patients root counting lumbocrural pain patients for low back pain score and lumbar, lumbar nerve root channel form between the height of the imaging measurement, analysis of the root lumbocrural pain nerve root morphological changes, the change of the height between lumbar effects in the pathogenesis of root lumbocrural pain.Methods:from March2013to March2013during the second affiliated hospital of guiyang college of traditional Chinese medicine bone of outpatient and ward to collect clinical patients in clinical diagnosis of root of54cases of lumbocrural pain, and no obvious root lumbocrural pain symptoms of visitors of46patients with clinical data collection.Divided into the symptom group54cases, control group46cases.The symptom groups:male29cases,25cases of women.Age between35～77years old.The average age (53.28+/-12.59).Control group:27cases of male, female19cases.Aged between33and68.The average age (48+/-11.24).Of the two groups of age and gender were independent samples t test, P value is greater than0.05, there was no statistically significant differences.Statistical studies can be carried out.Each patient and visitors to fill in "lumbago illness score table".And in supine shooting L3～S1vertebral spiral CT scan (including three vertebral body clearance).To save the image to the computer, the application digimizer medical image measurement software, respectively, measure the L3～L5vertebral disc yellow, yellow ligament thickness, side clearance distance lateral crypt width (on both sides of the double lower limbs have symptoms test record on both sides of the minimum), articular process on the groove width, groove width, under the intervertebral foramen intervertebral foramen outside mouth vector, diameter size, edge height before and after the vertebral body clearance.Then the obtained data using SPSS20.0software for statistical analysis.Results:through imaging measurement data of100patients after statistical analysis found as follows:1. Symptom group and control group in L3and L4, L5, various indicators of independent sample t test showed that (1) same L3lateral crypt of vertebral body width (P=0.049is less than0.05, with significant difference.P=0.005(2) the L4vertebral body yellow ligament width is less than0.01has a very significant difference;Intervertebral foramen transverse diameter size P=0.036is less than0.05, significant statistical differences (3) the thickness of the L5vertebral yellow ligament P=0.00072is less than0.01, with significantly statistical differences.2. The symptoms of L3～L5each single factor variance analysis show that each target plate of yellow gap width=0.045, P P=0.05yellow ligament thickness, intervertebral foramen transverse diameter P=0.027, are less than0.05, significantly statistical differences.3. The symptom group and control group each quantitative indicators and low back pain score of Pearson correlation analysis results show that the symptom group medium yellow ligament, lateral crypt width, thickness and the intervertebral foramen transverse diameter size P values are:0.045,0.050,0.027, less than0.05, has significant correlation.4. Symptom group compared with control group between the intervertebral foramen form (chi-square test), according to L3vertebral chi-square value of15.163, P value is0.002, less than0.05, with a statistically significant difference between the.5. Before and after the intervertebral height and intervertebral foramen radius vector. The transverse diameter of correlation test showed that intervertebral foramen radius vector and fanterior flange height, height of vertebral rear correlation results r=0.1558, respectively, t=2.710, P=0.007;R=0.1681, t=2.928, P=0.004).Intervertebral foramen transverse diameter and height, vertebral rear fanterior highly correlation results respectively r=0.1473, t=2.558, P=0.011;R=0.1316, t=2.280, P=0.023).That intervertebral foramen radius vector, transverse diameter size and fanterior trailing highly significant correlation.Conclusion:1. The root lumbocrural pain in patients with yellow ligament thickness, width of lateral crypt, intervertebral foramen transverse diameter compared with patients with no obvious root symptoms, changes the former than the latter in roots can be used as a clinical diagnosis of lumbocrural pain of the important basis.2. The gap edge before and after the height of the vertebral bodies change can affect the morphology and size of intervertebral foramen, and cause the related clinical performance, can be applied to diagnose the root lumbocrural pain.3. The intervertebral foramen was kidney-shaped change is one of the symbols of vertebral degenerative changes of the vertebral bodies, root tip patients exist the possibility of lumbocrural pain occurred. |
