在患有腰椎脊柱狭窄症患者的腰椎盘凸起的定量分析:对减压手术的外科结果的影响
Koji Akeda1, Takahiro Hasegawa1, Yusuke Togo1
1Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu 514-8507, Japan.
Journal of clinical medicine
|October 14, 2023
概括
在腰椎狭窄症 (LSS) 中使用计算机断层扫描 (CT) 进行磁盘凸起的定量评估,发现它影响了手术结果. 更大的椎间盘凸起 (%EAD) 与术后生活质量和功能差异相关.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 腰椎脊柱狭窄症 (LSS) 是一种常见的疾病,通常通过手术治疗.
- 圆盘凸起是LSS的常见发现,但其对外科手术结果的影响尚未完全量化.
- 计算机断层扫描 (CT) 允许对解剖结构进行定量评估.
研究的目的:
- 在LSS患者中使用CT量化评估磁盘凸起.
- 为了研究后部减压手术后磁盘膨胀程度和外科手术结果之间的关系.
主要方法:
- 包括63名经过后部减压的LSS患者.
- 在轴心CT图像上,磁盘凸起被量化为扩展磁盘面积与端板面积 (%EAD) 的百分比.
- 临床结果评估 (JOABPEQ,ODI,RDQ) 进行了手术前和手术后12个月.
主要成果:
- 平均%EAD为18.9±8.0,在L4/L5.5处最高.
- 术前%EAD与基线临床结果没有相关性.
- %EAD与术后JOABPEQ (腰椎功能,行走能力,社会功能),ODI和RDQ分数显著相关.
结论:
- 在LSS患者中,使用CT进行磁盘膨胀 (%EAD) 的定量评估是可行的.
- 椎间盘膨胀显著影响术后的临床结果,包括减压手术后的生活质量和功能恢复.
- 磁盘膨胀的程度是预测LSS手术成功的一个重要因素.
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