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早期与延迟的脊髓 sciatica手术:一个单中心的观察性研究.

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概括
此摘要是机器生成的。

由于腰椎间盘 (LDH) 的原因,早期的腰椎间盘切除术可以缓解腰椎间盘痛的症状,比延迟的手术更快. 虽然早期干预在疼痛和残疾方面显示出最初的好处,但长期结果在不同组之间变得可比.

关键词:
腰椎椎间盘的发生微分体切除术 (microdiscectomy) 是一个微分体切除术.这是一种坐骨神经炎.外科手术的时间.

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科学领域:

  • 神经外科 神经外科
  • 整形外科手术 整形外科手术
  • 疼痛管理 疼痛管理

背景情况:

  • 腰椎间盘 (LDH) 经常导致腹筋痛,腰椎间盘切除术比保守治疗更快缓解症状.
  • 在LDH手术干预的最佳时间仍未得到充分研究,影响患者的治疗结果和治疗策略.

研究的目的:

  • 为了比较早期 (<6个月) 与延迟 (≥6个月) 的临床结果,用于由LDH引起的坐骨髓炎.
  • 评估手术时间对减轻疼痛和功能恢复的影响.

主要方法:

  • 对前性收集的临床结局数据的回顾性分析,这些数据来自于为LDH诱导的坐骨髓 sciatica进行微分切除术的患者.
  • 根据干预前症状持续时间,患者被分为早期和延迟手术组.
  • 视觉模拟尺度 (VAS) 对于腰部疼痛 (LBP) 和腿部疼痛 (LP),以及奥斯威斯特残疾指数 (ODI) 进行了手术前和1,3,6和12个月后的评估.

主要成果:

  • 在早期和延迟手术组之间没有观察到显著的基线差异,除了延迟组中较高的阿片类药物处方率外.
  • 早期的手术表明,坐骨神经炎的持续时间显著缩短 (3.9 vs 12.2 个月).
  • 接受早期手术的患者在1个月和3个月后的LBP VAS得分显著降低,并在术后1个月后的LP VAS和ODI得分降低,尽管这些优势随着时间的推移而减少.

结论:

  • 由于LDH引起的坐骨髓炎的早期微分隔切除术提供了优越的短期疼痛缓解和功能改善,与延迟手术相比.
  • 虽然最初的好处是显著的,但关于疼痛和残疾的长期结果往往在早期和延迟的外科干预组之间趋同.
  • 这些发现表明,虽然早期手术提供了迅速的症状缓解,但长期的功能恢复可能与延迟手术没有显著差异.