NGHIÊN CỨU MỐI TƯƠNG QUAN CỦA HÌNH ẢNH CỘNG HƯỞNG TỪ VỚI TRIỆU CHỨNG LÂM SÀNG TRONG BỆNH THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ TỪ NĂM 2022 ĐẾN NĂM 2024

Abstract

Background: Disc herniation is the main cause of lumbar spine pain. Magnetic resonance imaging is considered the "gold standard" in diagnosing disc herniation. However, the problem is the correlation of lesions on magnetic resonance images with the patient's clinical symptoms. Objectives: To describe clinical symptoms, magnetic resonance images and learn the correlation of magnetic resonance images with clinical symptoms in lumbar disc herniation. Materials and methods: A crosssectional descriptive study was conducted on 107 patients who were clinically diagnosed with lumbar disc herniation and underwent magnetic resonance imaging at Can Tho Central General Hospital from 2022 to 2024. Results: Symptoms of lumbar spine pain accounted for 96.2%. The Lasègue test was positive in 90.6% of patients with lumbosacral nerve root compression syndrome. L4/L5 disc herniation accounted for 91.6% and posterior disc herniation accounted for 62.3%. Grade 1 central spinal stenosis accounted for 42.1% and grade 0 foraminal stenosis accounted for 35.5%. Lumbar spine syndrome was found in hernias at a rate of 85.7-100%, nerve root compression syndrome was seen in hernias in the foramina at a rate of 100%. It was found that there is a relationship between the degree of central spinal stenosis on MRI and the clinical presence or absence of cauda equina syndrome and the degree of foraminal stenosis on MRI and the clinical condition of whether or not nerve root compression syndrome is present. Conclusion: Magnetic resonance plays a very important role in helping to diagnose early and accurately and guide the treatment of lumbar disc herniation.