CT影像在青、老年腰椎间盘突出症理疗中的疗效比较

目的 通过分析青、老年腰椎间盘突出症患者治疗前后的CT表现,比较理疗综合治疗后的影像学改变及临床疗效.方法 收集中老年腰椎间盘突出症患者120例,青年组患者30例,均采用中医综合性理疗,如腰椎牵引、手法按摩、电针、中频治疗仪、中药薰蒸等,进行1个月系统综合治疗.一个疗程后对患者复查CT,比较治疗前后腰椎间盘突出症的量化指标间的变化.结果 中老年组临床有效率为80.8％,青年组临床有效率为86.7％,青年组在CT影像量化指标上明显优于巾老年组.结论 青年组患者不论在临床疗效或者CT影像量化指标上都优于老年组患者;综合理疗不仅能消失除或缓解腰椎间盘突出症患者的临床症状,且青年组CT影像量化指标有统计学意义,老年组CT影像量化指标上则无统计学意义.

Role of CT imaging in.judging the efficacy of physiotherapy for lumbar intervertebral disc herniation in young people and the elderly

Objective To compare the radiologic changes and the efficacy of physiotherapy by analying CT manifestations of lumbar intervertebral disc herniation in young people and the elderly before and after treatment. Methods 120 elderly patients and 30 young patients were included in this study. All the patients received comprehensive Chinese physiotherapy including lumbar traction, massage, electroacupuncture, intermediate frequency instrument for massage, and fumigation with Chinese medi- cine for one month. After a course of treatment, CT scans were performed again. The quantitative indexes of disc herniation were compared with the baselines after treatment. Results The clinical effectiveness rate was 80.8% in the elderly group and 86.7 % in the young group. The young group was obviously superior to the elderly group in the quantitative indexes of CT imaging. Conclusions The young group is superior to the elderly group not only in the clinical efficacy but also in the quantitative indexes of CT imaging. Comprehensive physiotherapy can eliminate or alleviate symptoms of lumbar intervertebral disc herniation. The quantitative indexes of CT imaging have statistical significance in the young group but not in the elderly group.