双门内镜椎间盘切除术后复发性椎间盘的危险因素
Ju-Eun Kim1, Sung Choi, Chris Michel
1From the Baroseomyeon Hospital, Busan, Korea (Dr. Kim); the Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, South Korea (Dr. Choi); the Corewell Health, Southfield, MI (Dr. Michel); and the Midwest Orthopedics at RUSH, Chicago, IL (Dr. Park).
概括
糖尿病,吸烟和封闭性椎间盘,在双门内镜腰椎切除术后增加了复发风险. 这种微侵袭性技术提供了良好的结果,但需要为这些特定的风险因素提供患者咨询.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 最少侵入性的脊柱手术
背景情况:
- 双门内镜片切除术是一种对腰椎间盘的微创技术.
- 了解复发风险因素对于患者管理和手术规划至关重要.
研究的目的:
- 为了确定在双门内镜片切除术后复发性磁盘的危险因素.
- 评估与此程序相关的临床结果和复发率.
主要方法:
- 对237名患者进行椎间盘的双门内镜切除术的回顾性审查.
- 分析了160名符合条件的患者的临床和放射数据.
- 评估手术前的因素,包括人口统计,视觉模拟尺度 (VAS) 和奥斯韦斯特里残疾指数 (ODI).
主要成果:
- 手术后的VAS和ODI得分显著改善.
- 9.4%的症状复发率 (15/160名患者),其中5%需要修复手术.
- 鉴定出糖尿病,吸烟和封闭性椎间盘作为复发的显著风险因素 (P < 0.05).
结论:
- 单层双门内镜断层切除显示出良好的临床结果.
- 复发风险因素与传统的开放式和管状技术相似.
- 患有糖尿病,吸烟史或封闭性椎间盘的患者由于复发风险增加,需要仔细咨询.
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