微切除术后持续的腰部疼痛的风险因素分析:一项回顾性研究
Antonio García López1, María-Trinidad Herrero Ezquerro2, Miguel Martínez Pérez3
1Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Heliyon
|October 11, 2024
概括
持续的腰部疼痛 (PLBP) 影响近30%的腰部微分隔切除术后的患者. 关键的危险因素包括L5-S1椎间盘,复发性,肥胖,莫迪克变化和面部突变.
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:
- 微隔膜切除术是症状性腰椎椎间盘 (LDH) 的标准治疗方法.
- 持续的腰部疼痛 (PLBP) 可能发生在微小椎间盘切除术后,由于椎间盘退化和不稳定.
- 了解PLBP患病率和风险因素对于改善外科手术结果至关重要.
研究的目的:
- 在微切除术后定义PLBP.
- 为了确定PLBP的患病率在接受了LDH微分隔切除术的患者中.
- 确定与PLBP相关的临床,放射学和解剖学风险因素.
主要方法:
- 对332名为LDH进行了微隔膜切除术的患者进行了回顾性研究 (2015-2019).
- 患者被分为PLBP和非PLBP组.
- 分析变量包括年龄,性别,水平,复发,BMI,Modik变化,面部脱,和LSTV.
主要成果:
- 在29.8%的患者中诊断出PLBP (99/332).
- 对PLBP的独立风险因素包括L5-S1,复发性,肥胖,MRI上的Modic变化和面部突变.
- 在女性和50岁以下的患者中观察到风险增加的趋势,但在统计学上并不显著.
结论:
- 微分隔切除术后,PLBP是一个常见的并发症.
- 识别L5-S1水平,复发,肥胖,Modic变化和面部脱等危险因素有助于手术决策.
- 需要进一步的研究,以充分了解和减轻微小切除术后的PLBP.
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