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脊椎手术后慢性疼痛的发生率:系统性审查和元分析

Hotoon S Alshammari^1,2, Abdullah S Alshammari³, Sulaiman A Alshammari⁴

¹College of Medicine, King Saud University, Riyadh, SAU.

|August 14, 2023

概括

慢性疼痛影响近15%的患者后腰椎间盘切除退行性磁盘疾病. 这凸显了改善患者沟通和协调护理策略的必要性,以管理术后持续的背痛.

科学领域:

神经外科神经外科
整形外科整形外科整形外科
疼痛管理疼痛管理

背景情况:

退行性椎间盘疾病和腰部疼痛经常在椎间盘切除术后持续存在.
患者的观点和关于这些持续性疾病的定量数据是有限的.
背部手术失败综合征仍然是一个重大的临床挑战.

研究的目的:

系统地审查和对文献进行元分析.
为了确定一次性腰椎切除术后慢性疼痛的综合流行率.
确定导致持续疼痛和手术结果的因素.

主要方法:

在MEDLINE (PubMed),谷歌学者和沙特数字图书馆的系统文献搜索.
包括报告持续背痛的频率,再次发生的椎间盘,或腰椎间盘切除术后的重新手术的研究.
排除没有量化超过六个月的疼痛持续时间的研究.

主要成果:

包括16项涉及85,643名患者的研究.
腰椎切除术后持续性疼痛的综合流行率为14.97% (95% CI:12.38-17.76).
尽管技术进步,但很大一部分患者经历了背部手术失败综合征.

结论:

持续的疼痛影响大量的患者后腰椎切除术.
有效的手术前沟通和多学科治疗对于最佳结果至关重要.
需要进一步的研究来缓解失败的背部手术综合征的发生率.

关键词:

这是一次切除椎间盘的手术.拉米切除术 (laminectomy) 是一种切除膜的方法.腰椎椎间盘的发生手术后的脊柱疼痛是什么脊柱外科手术脊柱外科手术

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