术前视觉模拟尺度图模式可以预测腰椎缩的老年人手术的结果吗? 一个两中心的回顾性研究研究
Kohei Shibata1,2, Soya Kawabata1, Takehiro Michikawa3
1Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.
Fujita medical journal
|February 5, 2026
概括
视觉模拟尺度 (VAS) 上的手术前疼痛评分可以预测腰椎缩 (LSS) 的老年人的手术结果. 均等分数表明更好的结果,而高分数的腰部疼痛或麻木症表明较差的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 疼痛管理 疼痛管理
背景情况:
- 腰椎脊柱狭窄症 (LSS) 影响到老年人,有各种各样的疼痛表现.
- 视觉模拟尺度 (VAS) 测量疼痛,部/下肢疼痛和麻木.
- 预测LSS患者的手术成功对于优化结果至关重要.
研究的目的:
- 评估手术前VAS评分模式对老年LSS患者手术结果的预测价值.
- 为了确定特定的VAS得分分布是否与术后改善相关.
主要方法:
- 对334名接受LSS手术的患者 (≥65岁) 的时间数据的回顾性分析.
- 采用了苏黎世听调查问卷和JOABPEQ,包括VAS,在手术前和手术后 (6个月,1年).
主要成果:
- 患有相同的手术前VAS分数的患者腰部疼痛 (LP),部/下肢疼痛 (PL) 和麻木 (NL) 后的术后疼痛减少最大.
- 最高的手术前LP或NLVAS得分与最少的改善有关.
- 多变量分析证实高LP和NLVAS得分 (每项RR:2.1),预测手术结果不佳.
结论:
- 手术前的VAS图表模式在临床上是有用的,用于预测老年LSS患者的手术结果.
- 良好的结果与平衡的手术前VAS分数 (LP,PL,NL) 有关.
- 高的手术前LP或NLVAS得分表明,手术结果低于最佳的风险更高.
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