brief journal review

요천추 디스크 탈출증  척추 협착증 환자의 수술적 결과를 예측하기 위한 전기적 진단법의 임상적 유용성을 평가하는 연구를 시행하였습니다.


이를 위해 근전도검사가 수술적 결과를 예측할  있는지의 여부를 확인하고, MRI 임상적 요소 판별 측면에서 비교하였습니다.


환자의   만족도 평가 기준인 수정된MacNab  통증지수(VAS), 일상생활장애지수(ODI)등을 이용해, 환자들을 수술결과가 좋은  수술결과가 좋지 않은   그룹으로 나누었습니다.


연구 결과 근전도 검사를 시행하였을 , 전체 환자의 52.7% 신경근병증을 판별하였습니다. 또한 이렇게 판별된 신경근병증 환자들은 수술적 결과가 좋지 않은 환자들과 통계적으로 유의한 상관성이 있었습니다.


전기적 진단법은 신경 관에서의 기능적 이상징후를 판별할  있는 방법이므로 임상적으로 유용하다는 결론 입니다.


전문은 아래의 링크 따라가시면 보실 수 있습니다^^


*Title: Clinical usefulness of electrodiagnostic study to predict surgical outcomes in lumbosacral disc herniation or spinal stenosis.

요천추 디스크 탈출증  척추 협착증에서의 수술적 결과를 예측하는 전기적 진단법의 임상적 유용성

*Authors: Lee JH, Lee SH



PURPOSE

-To examine how EDX can predict surgical outcomes in patients with LDH and LSS

-To compare the predicted values of EDX with other clinical factors and MRI findings.



METHODS

Subjects: diagnosed with LDH or LSS who underwent EDX before lumbar surgery

Divided 2groups: successful / unsuccessful surgical outcomes (MacNab)

-Obtained pre-op clinical data, radiological results, and EDX results.




 

RESULTS

Using EDX, radiculopathy was found in 236 patients (52.7 %).

Radiculopathy on EDX was significantly related only to unsuccessful surgical outcomes.

The association of spondylolisthesis showed the trends towards unsuccessful surgical outcome, despite statistical insignificance.



 



CONCLUSIONS


EDX detected functional abnormalities of nerve roots that did not show clinical manifestation and did not appear compressed on MRI. These abnormalities are important predictive factors for surgical outcomes in patients with LDH or LSS. Therefore, pre-operative EDX is a clinically useful method to predict surgical prognosis.

by 스티치 iamleesol 2014.12.03 12:33