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皮肤内镜腰椎切除术后残留症状的预后因素

Yang Yu¹, Jingming Wang¹, Lei Wang¹

¹Orthopedic Department, 960 Hospital of People's Liberation Army, NO.25 Shifan Road, Jinan, Shandong, 250031, People's Republic of China.

Neurosurgical review

|May 30, 2024

概括

椎间盘化可能会减少腰椎切除术后残留的腰部疼痛. 症状持续时间较长会增加手术后残留腿部麻木的风险.

科学领域:

神经外科神经外科
整形外科手术整形外科手术
最少侵入性的脊柱手术

背景情况:

穿皮内镜腰椎间盘切除术 (PELD) 是腰椎间盘 (LDH) 的一种微创手术.
在PELD后的残留症状可能会影响患者的结果和生活质量.

研究的目的:

为了确定与PELD后残留症状相关的风险因素.
分析患者特征,临床特征和放射性发现与残留腰痛 (LBP) 和腿部麻木 (LN) 之间的关系.

主要方法:

从2015年1月到2020年12月,对339名从2015年1月到2020年12月为LDH接受PELD的患者进行了回顾性病例对照研究.
患者被跟踪至少两年.
使用多变量逻辑回归分析来确定残留LBP和LN的风险因素.

主要成果:

剩余症状很普遍,其中26.5%的人患有腰痛,22.4%的人患有腰痛.
在CT扫描中发现椎间盘化是对手术后残留LBP (OR,0.480;P <0.05) 的独立保护因素.
较长的症状持续时间被确定为术后残留LN (OR,2.231;P <0.05) 的显著风险因素.

结论:

在LDH的PELD之后,残留症状很常见.
椎间盘化可能在预防残留LBP方面发挥保护作用.
手术前症状持续时间较长是PELD后腿部持续麻木的危险因素.

关键词:

案例控制研究研究腿部麻木腿部麻木腰部疼痛腰部疼痛腰部疼痛穿皮内镜腰椎间盘切除术是通过皮肤进行的.剩余的症状剩余的症状风险因素风险因素

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