[1]张武康 原超△ 杨晓光 宋振杰 杨瀚迪 吴春飞 梁家畅.终板炎与经皮椎间孔镜腰椎髓核摘除术后早期再突出的相关性研究[J].中国中医骨伤科杂志,2022,30(05):51-53.
 ZHANG Wukang YUAN Chao YANG Xiaoguang SONG ZhenjieYANG Handi WU Chunfei LIANG Jiachang.Study on the Relationship between Modic Change and EarlyRe-Protrusionafter Percutaneous Endoscopic Lumbar Discectomy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(05):51-53.
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终板炎与经皮椎间孔镜腰椎髓核摘除术后早期再突出的相关性研究()
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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05期
页码:
51-53
栏目:
临床报道
出版日期:
2022-05-15

文章信息/Info

Title:
Study on the Relationship between Modic Change and EarlyRe-Protrusionafter Percutaneous Endoscopic Lumbar Discectomy
文章编号:
1005-0205(2022)05-0051-03
作者:
张武康1 原超2△ 杨晓光2 宋振杰2 杨瀚迪2 吴春飞2 梁家畅1
1广州中医药大学第三临床医学院(广州,510403)
2广州中医药大学第三附属医院
Author(s):
ZHANG Wukang1 YUAN Chao2△ YANG Xiaoguang2 SONG Zhenjie2YANG Handi2 WU Chunfei2 LIANG Jiachang1
1The Third Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510403,China; 2The Third Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510280,China.
关键词:
腰椎间盘突出症经皮椎间孔镜下腰椎髓核摘除术终板炎术后复发
Keywords:
lumbar disc herniation percutaneous endoscopic lumbar discectomy modic change postoperative recurrence
分类号:
R681.5
文献标志码:
B
摘要:
目的:初步探讨终板炎对经皮椎间孔镜治疗腰椎间盘突出症术后复发的影响。方法:选取2018年1月至2021年4月197例经皮椎间孔镜治疗腰椎间盘突出症在术前是否合并Modic改变的患者,通过两组患者在术后6个月内手术节段是否再突出的数量比例进行回顾性分析。结果:合并Modic改变的患者共60例,术后6个月内再突出患者8例,其中手术间隙L4~5复发6例,L5S1复发2例,复发率为13.33%; 不伴Modic改变的患者共137例,术后6个月内再突出患者共2例,其中手术间隙为L4~5复发1例,L5S1复发1例,复发率为1.46%,差异有统计学意义(P<0.05)。结论:腰椎间盘突出合并终板炎为经皮椎间孔镜下腰椎髓核摘除术(PELD)术后早期再突出的危险因素之一。
Abstract:
To discuss the efficacy of modic changes on the recurrence of lumbar disc herniation after percutaneous transforaminal endoscopy preliminary.Methods:197 cases of patients with lumbar disc herniation treated by percutaneous foraminal microscopy preoperative with or without modic changes from January 2018 to April 2021 were retrospectively analyzed in two groups through the proportion of re-protrusion within 6 months after surgery.Results:A total of 60 patients with modic changes,and 8 patients were re-prominent within 6 months after surgery including 6 patients with L4~5 recurrence and 2 patient with L5S1 recurrence,with a recurrence rate of 13.33%(P<0.05).A total of 137 patients without modic changes,and there were 2 patients with re-protrusion within 6 months after surgery including 1 person with L4~5 recurrence and 1 person with L5S1 recurrence,with a recurrence rate of 1.46%(P<0.05).Conclusion:Lumbar disc herniation combined with modic change is one of the risk factors for early re-protrusion after percutaneous endoscopic lumbar discectomy(PELD).

参考文献/References:

[1] 齐文斌,朱彦海.经皮椎间孔镜手术治疗腰椎间盘突出症的疗效观察及术后复发的相关因素分析[J].颈腰痛杂志,2019,40(6):776-780.
[2] 邵睿,祝斌,刘晓光.内窥镜下腰椎间盘髓核摘除术后复发危险因素的研究进展[J].中国脊柱脊髓杂志,2020,30(5):459-462.
[3] 朱灏,刘波,张华溢,等.经皮椎间孔镜与椎间盘镜髓核摘除术治疗腰椎间盘突出症的疗效及复发影响因素分析[J].河北医学,2021,27(3):429-436.
[4] 肖正军,王丽芬,陈吉祥,等.经皮椎间孔镜手术治疗腰椎间盘突出症319例[J].中国中医骨伤科杂志,2019,27(10):63-65.
[5] 李长青,周跃,王建,等.经皮内窥镜下手术治疗腰椎间盘突出症的并发症及其防治策略[J].中国脊柱脊髓杂志,2012,22(11):969-974.
[6] 钱宇章,王楠,董煜祺,等.经皮椎间孔镜治疗腰椎间盘突出症术后复发相关因素的Meta分析[J].中国组织工程研究,2020,24(36):5886-5896.
[7] 魏兵.腰椎间盘突出症患者椎间孔镜手术后复发的危险因素分析[J].实用骨科杂志,2019,25(2):101-104.
[8] 梁智林,海涌,杨晋才,等.经皮椎间孔镜治疗腰椎间盘突出症术后复发影响因素研究[J].中国骨与关节杂志,2020,9(1):5-10.
[9] HAO L,LI S,LIU J,et.al.Recurrent disc herniation following percutaneous endoscopic lumbar discectomy preferentially occurs when Modic changes are present[J].J Orthop Surg Res,2020,15(1):176.
[10] HUANG Y C,XIAO J,LEUNG V Y,et.al.Lumbar intervertebral disc allograft transplantation:the revascularisation pattern[J].Eur Spine J,2018,27(3):728-736.
[11] CHEN Y,YANG H,WANG Y,et al.Relationship of endplate changes and low back pain after discectomy[J].Clin Neurol Neurosurg,2019,184:105449.
[12] URBAN J P,SMITH S,FAIRBANK J C.Nutrition of the intervertebral disc[J].Spine(Phila Pa 1976),2004,29(23):2700-2709.
[13] YAMAN M E,KAZANC A,YAMAN N D,et al.Factors that influence recurrent lumbar disc herniation[J].Hong Kong Med J,2017,23(3):258-263.
[14] 任冬杰,王羽丰,林定坤,等.终板炎对经皮椎间孔镜治疗腰椎间盘突出症疗效的影响[J].中国中医骨伤科杂志,2020,28(7):38-42.

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更新日期/Last Update: 1900-01-01