摘要：The aim of this study was to explore the application effect of computed tomography (CT) image based on active contour segmentation algorithm in the treatment of lumbar disc herniation (LDH) with scalpel. 78 patients with LDH were selected and divided into a lateral crypt block treatment group (group A) and a scalpel treatment group (group B) randomly. All the patients were examined by lumbar CT images based on artificial intelligence (AI) algorithm. Then, the clinical efficacy and Japanese orthopedic association (JOA) and visual analogue scale (VAS) scores were compared between the two groups. It was found that the total effective rate in group B was higher (92.31% vs. 84.62%) (P < 0.05). After treatment, the disc height (DH) in group A was obviously lower, and the vertebral body slippage was obviously higher (P < 0.05) than before. After treatment, there were more patients with nerve root location changes, edema, or disappearance in group B (P < 0.05). In contrast with JOA and VAS scores before treatment, both the groups showed obvious differences after treatment, especially group B (P < 0.05). Therefore, the CT images based on the AI algorithm can be used to analyze the treatment effect of LDH, and the scalpel treatment was more effective.
