目的 探讨分析腰椎间突出症患 者保守治疗前后临床症状评分及CT影像 变化情况。方法 对我院疼痛门诊近一年 (2017年2月-2018年2月)经临床最终确诊 为腰椎间盘突出症的120例患者保守治疗 前后进行临床症状评分及CT影像扫描， 并按治疗前临床症状评分将患者椎间盘 突出程度分为轻度、中度、重度，分析 三组患者保守治疗前后临床症状评分及 CT影像变化情况。结果 (1)120例患者轻 度、中度、重度组分别为38例、57例、25 例；(2)治疗后，轻度患者临床症状评分 较前显著降低(P<0.05)，中度及重度患 者治疗后临床症状评分较前无显著改变 (P>0.05)；(3)治疗后，轻度患者椎间盘 突出物CT值、椎管前后径、侧隐窝宽度均 较前显著降低(P<0.05)，中度患者椎间盘 突出物CT值较前显著下降(P<0.05)，重度 患者椎间盘突出物CT值和中度及重度患者 椎管前后径、侧隐窝宽度均较前无显著改 变(P>0.05)。结论 临床症状评分及CT影 像改变在一定程度上能为腰椎间盘突出患 者保守治疗效果提供理论依据，可用于椎 间盘患者病情的评估。

Objective To analyze the clinical symptoms scores and CT imaging changes of patients with lumbar disc herniation before and after conservative treatment. Methods 120 cases of patients who were clinically diagnosed as lumbar disc herniation in the past year (from February 2017 to February 2018) were given clinical symptoms scores and CT scans before and after conservative treatment. According to the clinical symptoms scores before treatment, the degrees of disc herniation were divided into mild, moderate and severe degree. The clinical symptoms scores and CT imaging changes of the three groups were analyzed before and after conservative treatment. Results Among 120 patients, mild, moderate and severe groups were with 38 cases, 57 cases and 25 cases respectively. After treatment, the clinical symptoms scores of mild patients were significantly lower than those before treatment (P<0.05), and there were no significant changes in the clinical symptoms scores after treatment in moderate and severe patients (P>0.05). After treatment, the CT value of disc herniation, the anteroposterior diameter of spinal canal, and the lateral recess width were significantly lower than those before treatment (P<0.05), and the CT value of disc herniation in moderate patients was significantly lower than that before treatment (P<0.05), and there were no significant changes in the CT value of disc herniation in severe patients and the anteroposterior diameter and lateral recess width of moderate and severe patients compared with those before treatment (P>0.05). Conclusion Clinical symptoms score and CT imaging changes can provide a theoretical basis for effects of conservative treatment for patients with lumbar disc herniation, and it can be used for the evaluation of patients with intervertebral disc.