磁盘高度的变化作为进行显微磁盘切除术的患者的预后因素
Myeonggeon Kweon1, Koang-Hum Bak1, Hyeong-Joong Yi1
1Department of Neurosurgery, Hanyang University Medical Center, College of Medicine, Hanyang University, Seoul, Korea.
Journal of Korean Neurosurgical Society
|October 6, 2023
概括
微盘切除术后的背部疼痛与圆盘高度比率有关. 在手术后的1,6个月和12个月,较高的圆盘高度比率与更好的疼痛得分相关,这表明积极的圆盘切除可能会改善结果.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
背景情况:
- 微隔膜切除术是腰椎间盘的常见手术.
- 手术后的背部疼痛和患者的不满仍然是严重的问题.
- 手术后的圆盘高度 (DH) 变化可能会影响长期的结果.
研究的目的:
- 为了研究手术前和手术后的圆盘高度 (DH) 和疼痛分数之间的关系,12个月后微圆盘切除术.
- 为了确定腰椎间盘的手术后背部疼痛的预后因素.
主要方法:
- 对118名接受微切除术 (2012-2020) 的患者进行了回顾性分析.
- 测量圆盘高度 (DH) 指数和DH比率 (术后/术前DH).
- 在12个月后,DH指标和视觉模拟尺度 (VAS) 疼痛得分之间的相关性分析.
主要成果:
- 盘高度 (DH) 降低至手术后12个月.
- 椎间盘切除术后1,6和12个月的DH比率与12个月的疼痛得分有显著的正相关性.
- 手术水平,性别,年龄和BMI与12个月的背痛没有显著的关系.
结论:
- 手术后的圆盘高度比率是12个月背部疼痛得分的显著预后指标.
- 术后较低的DH比率和VAS得分表明,有潜力改善患者对侵略性椎间盘切除术的满意度.
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