腰椎内镜断层切除术期间的神经根收缩时间:与新发性激素炎相关,这是一个术后的神经学并发症
Michael C Gerling1,2, Melissa Baker1, Eloise Stanton3
1Gerling Institute, Brooklyn, NY, USA.
概括
在腰椎切除术期间神经根收缩时间较长,与术后激素炎增加和患者结果更差有关. 缩短的收缩时间与更好的疼痛缓解和功能恢复相关.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
背景情况:
- 腰椎间盘切除术是椎间盘的常见手术.
- 手术后的激素炎和患者报告的结果是手术成功的关键指标.
研究的目的:
- 调查手术中神经根收缩时间与术后激素炎的发生率之间的相关性.
- 评估神经根收缩时间对患者报告结果的影响,包括腰椎切除术后的疼痛和功能.
主要方法:
- 对157名接受单层或多层内镜腰椎切除术的患者进行前性研究.
- 记录了手术内神经根收缩时间;对患者进行了激素炎和患者报告的结果 (VAS,ODI,CAT) 的跟踪.
- 统计分析包括配对的t测试和多变量回归 (p < 0.05显著性).
主要成果:
- 18%的患者在手术后出现了新的激素炎.
- 新发性根炎与2周后明显加剧的腿部疼痛 (VAS) 有关.
- 较长的神经收缩时间 (13.8分钟) 与较差的VAS得分相关,而较短的时间 (6.7分钟) 与改善的VAS相关.
- 在6个月后,较长的收缩时间与基线相比,在ODI或CAT得分上没有显著改善.
结论:
- 这项研究表明,延长神经根收缩时间和术后激素炎增加之间存在显著的关系.
- 更长的收缩时间与腰椎切除术后患者报告的早期和长期结果较差有关.
- 尽量减少神经根收缩时间可能对改善腰椎切除术外科结果至关重要.
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