腰椎间盘的部疼痛:临床特征,危险因素和手术结果
Journal of neurosurgery. Spine
|March 14, 2025
概括
部疼痛是腰椎间盘 (LDH) 的常见症状,影响超过75%的患者. 内镜断层切除术有效地治疗了这种独特的症状,在手术后出现了显著的改善.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
背景情况:
- 部疼痛是腰部退行性疾病中常见但不太了解的症状.
- 它通常被误认为是感知性背痛或根性腿痛.
- 这项研究研究了腰椎间盘 (LDH) 中的部疼痛.
研究的目的:
- 为了确定LDH患者的部疼痛的发病率,临床特征,风险因素和手术结果.
- 为了区分部疼痛与与LDH相关的其他疼痛类型.
- 为了评估内镜断层切除术对部疼痛的疗效.
主要方法:
- 对321名单级LDH患者进行前性研究,这些患者接受了内镜断层切除术.
- 使用数值评分表 (NRS) 评估的疼痛水平 (背部,部,腿部) 手术前和后.
- 磁力共振成像和内镜评估磁盘的特征 (封闭,圆环断裂) 和退行性变化.
主要成果:
- 部疼痛发生在75.4%的LDH患者中,在L3-S1水平中很常见.
- 在封闭的LDH和完整的环形病例中发生率更高.
- 手术后的部疼痛显著改善 (NRS 5.44至0.84),随着1年的随访时间91.2%的解决.
结论:
- 部疼痛是L3-S1 LDH中流行且独立的症状.
- 它与背部疼痛或辐射腿部疼痛没有直接关系.
- 内镜断层切除术在LDH患者中有效缓解部疼痛.
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