[1]关月红△ 吴健 范胜利 沈玄霖 徐斌 沈国琪 何颖琦.经皮椎间孔镜治疗单节段腰椎间盘突出症术后复发的相关因素分析[J].中国中医骨伤科杂志,2022,30(02):40-44.
　GUAN Yuehong WU Jian FAN Shengli SHEN XuanlinXU Bin SHEN Guoqi HE Yingqi.Clinical Study on the Influencing Factors of Recurrence of Single-Segment Lumbar Intervertebral Disc Herniation after Percutaneous Transforaminal Endoscopy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(02):40-44.
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经皮椎间孔镜治疗单节段腰椎间盘突出症术后复发的相关因素分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年02期
页码:
40-44
栏目:
临床论著
出版日期:
2022-02-15

文章信息/Info

Title:
Clinical Study on the Influencing Factors of Recurrence of Single-Segment Lumbar Intervertebral Disc Herniation after Percutaneous Transforaminal Endoscopy
文章编号:
1005-0205(2022)02-0040-05
作者:
关月红1△ 吴健1 范胜利1 沈玄霖1 徐斌1 沈国琪1 何颖琦1
1江苏常熟市第二人民医院(江苏 常熟,215500)
Author(s):
GUAN Yuehong1△ WU Jian1 FAN Shengli1 SHEN Xuanlin1XU Bin1 SHEN Guoqi1 HE Yingqi1
1Changshu Second People’s Hospital, Changshu 215500, Jiangsu China.
关键词:
经皮椎间孔镜;  单节段;  腰椎间盘突出症;  复发;  多因素分析
Keywords:
percutaneous transforaminal endoscopy;  single segment;  lumbar disc herniation;  recurrence;  multivariate analysis
分类号:
R681.5
文献标志码:
A
摘要:
目的:分析经皮椎间孔镜治疗单节段腰椎间盘突出症术后复发的相关因素。方法:2016年1月至2019年12月共纳入患者357例,其中男 212 例,女 145例; 平均年龄(44.76±16.21)岁,60岁以上91例; 随访(25.33±9.48)个月。术前记录性别、年龄、体质量指数、腰椎间盘突出类型、手术节段、Modic改变、突出位置、Pfirrmann分级、高血压病、糖尿病、高血脂、饮酒、吸烟等,术后记录椎间活动度、活动强度、卧床时间等,定期观察,记录复发的详细情况。采用单因素及多因素分析来评估术后复发的高危因素。结果:357例中术后复发 29例,复发率为8.12%。单因素分析显示复发组体质量指数、腰椎间盘突出类型、糖尿病、吸烟、术后椎间活动度、术后活动强度、术后卧床时间等变量均高于未复发组。多因素分析显示体质量指数高(OR=4.889)、腰椎间盘突出型(OR=4.304)、糖尿病(OR=3.819)、术后椎间活动度大(OR=5.555)、术后卧床时间短(OR=2.751)是腰椎间盘突出症经椎间孔镜微创手术术后复发的高危因素。结论:体质量指数高、腰椎间盘突出型、糖尿病、术后椎间活动度大、术后卧床时间短是复发的危险因素。
Abstract:
To analyze the recurrence factors of single-segment lumbar disc herniation after percutaneous transforaminal endoscopy. Methods:A total of 357 patients were enrolled from January 2016 to December 2019, including 212 males and 145 females; the average age was(44.76±16.21)years old, and 91 cases were over 60 years old; the average follow-up time was(25.33±9.48)months. The patient’s gender, age, body mass index(BMI), type of lumbar disc herniation, surgical segment, Modic changes, herniated position, pfirrmann classification, hypertension, diabetes, hyperlipidemia, alcohol consumption, smoking habit, etc were recorded before surgery. After the surgery, the degree of postoperative movement, activity intensity, period of bed rest, and disease recurrence were documented. Lastly, univariate and multivariate analysis were used to assess high-risk factors for postoperative disc herniation recurrence. Results:Among the 357 cases examined, 29 cases recurred after surgery, eliciting a recurrence rate of 8.12%. Based on the univariate analysis, BMI, type of lumbar disc herniation, diabetes, smoking habit, postoperative intervertebral mobility, postoperative activity intensity and postoperative bed rest period significantly contributed to disease recurrence, as compared to the non-recurrent population. Moreover, the multivariate analysis revealed that high BMI(OR=4.889), lumbar disc herniation(OR=4.304), diabetes(OR=3.819), large postoperative intervertebral mobility(OR=5.555)and short postoperative bed rest(OR=2.751)are relatively high-risk factors for lumbar disc herniation recurrence, after minimally invasive surgery through foraminal endoscope. Conclusion:High BMI, lumbar disc herniation, diabetes, postoperative intervertebral mobility and short postoperative bed rest are risk factors for disc herniation recurrence.

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更新日期/Last Update: 1900-01-01