与手术后的早期疼痛相关的因素在侧腰椎间体融合后与手术后的早期疼痛有关
Norihiko Takegami1, Koji Akeda1, Koki Kawaguchi1
1Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Spine surgery and related research
|October 14, 2024
概括
侧腰间体融合 (LLIF) 患者与后部减压相比,经历了显著的早期术后疼痛. 手术前的椎间盘退化和腰部疼痛得分与LLIF手术后疼痛增加相关.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
背景情况:
- 侧腰间体融合 (LLIF) 是一种微创脊柱手术.
- 一些患者在LLIF手术后立即报告严重的部位疼痛.
研究的目的:
- 为了评估LLIF后的术后疼痛程度.
- 为了将LLIF疼痛与其他手术方法进行比较.
- 为了确定与LLIF后严重的早期术后疼痛相关的因素.
主要方法:
- 分析了93名因退行性疾病而接受腰椎手术的患者.
- 将患者分类为LLIF,使用皮穿式脚螺丝 (L组),后侧/后腰间体融合 (P组) 和后部解压 (D组).
- 使用视觉模拟尺度 (VAS) 从术前到术后的第14天评估腰部疼痛.
主要成果:
- 随着时间的推移,所有组的VAS疼痛得分都下降了 (P<0.01).
- 组L (LLIF) 的VAS得分明显高于组D (减压) 从术后1-9天 (P<0.05).
- 早期LLIF疼痛与圆盘高度指数变化相关,并倾向于与手术前圆盘退化和VAS分数相关.
结论:
- 这项研究是第一个评估LLIF早期术后疼痛因素的研究.
- 尽管LLIF的侵袭性很小,但它可能会导致严重的疼痛.
- 显著的手术前椎间盘退化或脊柱纠正可能会增加LLIF疼痛.
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