腰椎椎间盘的手术后的外科外周纤维化:我们的经验
Keyvan Mostofi1, Morad Peyravi2, Ali Shirbacheh3
1Neurosurgery, Centre Clinical de Soyaux, Soyaux, France.
Zeitschrift fur Orthopadie und Unfallchirurgie
|January 30, 2026
概括
腰椎椎间盘手术后的外科外周纤维化 (PEF) 是常见的. 许多患者经历了持续的疼痛,尽管治疗,如类固醇注射,突出需要更好的管理策略.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 再生医学是一种再生医学.
背景情况:
- 手术后的外周纤维化 (PEF) 是腰椎间盘的手术后的一个重大并发症.
- PEF涉及痕组织的形成,可能导致复发的根部疼痛和失败的背部手术综合征 (FBSS).
- 目前的文献缺乏关于PEF发生率和有效管理的充分数据.
研究的目的:
- 分析在经历腰椎间盘手术的患者中PEF发生率.
- 评估PEF目前治疗方式的有效性.
- 了解PEF对患者结果的影响.
主要方法:
- 在2010年9月至2023年8月期间进行腰椎间盘手术的2673名患者的回顾性分析.
- 专注于1974名患者,在手术后监测了长达一年的时间.
- 关于PEF诊断和治疗结果的文档.
主要成果:
- 97名患者 (发病率待计算) 被诊断为PEF.
- 超过61%的PEF患者没有得到足够的缓解疼痛的治疗方法,如外围注射类固醇和抗神经病药物.
- 只有23.61%的接受皮质类固醇注射的患者报告有缓解,许多患者需要转诊治疗疼痛.
结论:
- 皮盘外科手术后的PEF是影响患者康复的一个重要问题.
- 现有的治疗方法对大多数PEF患者提供有限的缓解.
- 进一步的研究对于开发有效的PEF预防和治疗策略至关重要.
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