治疗选择性神经根阻断单段腰椎脊柱狭窄症的功能结果:一项回顾性研究
Shiqian Xiao1, Shan Zhu2, Binggang Guan3
1Digital Subtraction Room, Tianjin Hospital, Tianjin, China (mainland).
概括
选择性神经根阻塞 (SNRB) 有效地缓解腰椎狭窄症 (LSS) 症状至少六个月. 运动和体重管理等生活方式的改变可以提高LSS患者的SNRB治疗结果.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 神经外科 神经外科
背景情况:
- 对于腰椎狭窄症 (LSS) 的选择性神经根阻断 (SNRB) 治疗后的功能结果很少被记录.
- 这项研究调查了单段LSS患者SNRB的功能结果.
研究的目的:
- 评估治疗SNRB在单段腰椎脊柱狭窄症 (LSS) 患者的功能性结果.
- 确定影响SNRB治疗LSS的有效性和持续时间的因素.
主要方法:
- 对117名单段LSS患者进行SNRB的回顾性分析.
- 使用奥斯韦斯特里残疾指数 (ODI) 和日本整形医学协会 (JOA) 的术前和术后分数 (3天,3,6,12个月) 评估功能结果.
- 基于人口统计,并发症和脊柱病理学的子组分析;ODI和JOA分数之间的相关性分析.
主要成果:
- 在SNRB后12个月内观察到LSS临床症状的显著改善,在6个月达到峰值.
- 在大多数子组中,在SNRB后6个月内,ODI得分逐渐下降,JOA得分逐渐增加.
- 在12个月后,SNRB在BMI>25或静坐时间>8小时的患者的有效性降低,得分恢复到接近治疗前的水平.
- 在ODI和JOA得分之间发现了显著的相关性.
结论:
- 治疗性SNRB提供有效的LSS症状缓解至少六个月.
- 改变生活方式,包括定期炼和体重控制,可能会延长SNRB对LSS的益处.
- 对于LSS患者来说,SNRB是一种可行的治疗选择,LSS患者对保守护理没有反应或不适合进行手术.
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