单侧双门内镜术后的复发性腰椎间盘的危险因素:一项回顾性研究
Yaoshen Zhang1, Zihao Ding1, Jie Wang1
1Department of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
International orthopaedics
|June 14, 2025
概括
在单侧双门内镜术 (UBE) 后,出现反复的腰椎间盘 (rLDH) 是常见的. 肥胖和高空腹血糖 (FBG) 是UBE后重新手术的关键风险因素.
科学领域:
- 神经外科 神经外科
- 最少侵入性的脊柱手术
- 脊椎盘疾病 脊椎盘疾病
背景情况:
- 单侧双门内镜 (UBE) 是用于腰椎间盘 (LDH) 的最小侵入性技术.
- 重复的腰椎间盘 (rLDH) 是UBE后重新手术的主要原因.
- 识别rLDH的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在单级UBE后调查与复发性腰椎间盘 (rLDH) 相关的风险因素.
- 为了确定rLDH在UBE之后的重新运行率.
- 为了确定LDH的UBE后重新运行的预测变量.
主要方法:
- 对205名接受单级UBE治疗的LDH患者 (2019-2023) 的回顾性分析.
- 评估人口和放射学参数,包括术前和术后数据.
- 分析重新操作的原因和风险变量,并对LDH复发病例进行额外评估.
主要成果:
- 10.2%的患者 (21/205) 需要为rLDH重新手术.
- 肥胖 (BMI ≥25.775 kg/m2) 和高血糖 (FBG ≥5.155 mmol/L) 被确定为独立的危险因素.
- 多变量分析证实了这些因素对重新操作的强有力的预测价值.
结论:
- 肥胖和FBG水平升高是LDHUBE后重新手术的重要独立风险因素.
- 接受UBE的肥胖和高FBG患者可能会从延长的康复中受益.
- 建议包括对有风险的患者进行支架和副脊柱肌肉强化.
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