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成年脊柱形的融合手术后疼痛概况的术后转变:一个集群分析

So Kato¹, Nozomu Ohtomo², Yoshitaka Matsubayashi²

¹Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. sokato@g.ecc.u-tokyo.ac.jp.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|June 6, 2024

概括

成年脊柱形手术的结果各不相同. 严重背部和腿部疼痛的患者报告满意度较低,与手术后持续的背部疼痛有关.

科学领域:

整形外科整形外科整形外科
神经外科神经外科
脊柱外科手术脊柱外科手术

背景情况:

成年脊柱形 (ASD) 通常会导致严重的背部和腿部疼痛.
在ASD手术后了解患者的疼痛概况对于管理结果和满意度至关重要.

研究的目的:

为了研究成年脊柱形手术后的各种疼痛特征反应.
评估不同疼痛集群的手术后患者满意度.

主要方法:

191名成年脊柱形患者的多中心监测,这些患者接受胸脊柱融合 (>5级).
基于手术前的背部和腿部疼痛的两步集群分析 (数值评分表).
在确定疼痛集群中比较一年的术后结果和满意度.

主要成果:

三个患者群体出现了:轻度疼痛 (NP),仅背痛 (BP) 和显著的背部和腿部疼痛 (BLP).
拥有最年长患者和最严重形的BLP集群显示出最低的满意度率 (63%).
在BLP组中,手术后的满意度与残留背痛有负相关性.

结论:

集群分析在手术后的成年脊柱形患者中发现了三种不同的疼痛特征.
手术前严重背部和腿部疼痛的患者患病最晚,满意度最低.
术后背痛在严重的成年脊柱形病例中显著影响患者的满意度.

关键词:

成年人的脊柱形是什么背部疼痛背部疼痛集群分析就是对集群进行分析.腿部疼痛腿部疼痛腿部疼痛数字评级规模的数值评级规模.疼痛疼痛疼痛疼痛满意度是一种满足感.

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