影响腰椎间盘突出症患者术后中长期疗效的相关因素分析  

Analysis on the Correlative Factors Affecting the Mid- and Long- term Clinical Efficacy of Surgical Management of Lumbar Disc Herniation

作　　者：高琪乐[1] 张宏其[1] 郭超峰[1] 鲁世金[1] 刘金洋[1] 葛磊[1] 邓盎[1] 王昱翔[1] 

机构地区：[1]中南大学湘雅医院脊柱外科,湘雅医院脊柱外科中心,湖南长沙410008

出　　处：《医学临床研究》2009年第10期1788-1792,共5页Journal of Clinical Research

基　　金：“十一五”国家科技支撑计划（编号：2007BA104B07）

摘　　要：【目的】探讨腰椎间盘突出症患者手术后中长期疗效的影响因素。【方法】采用回顾性研究，收集1999-2004年间因腰椎间盘突出症第一次入院手术的患者100例，调查记录其术前、术中、院内术后、随访时刻的观察项目，按疗效分组，运用logistic回顾筛选风险因子。【结果】大部分椎间盘组织摘除、随访时刻的JOA评分为良好疗效的保护因素。【结论】①术中腰椎间盘组织的摘除范围将影响术后中长期疗效，大部分椎间盘组织摘除是良好疗效最强的保护因素。②当随访时点JOA评分≥25分时，可提示患者术后疗效良好。[Objective] To explore the correlative factors affecting the mid and long-term clinical efficacy of surgical management of lumbar disc herniation. [Methods]All 100 cases of lumbar disc herniation collected from 1999 to 2004 were studied retrospectively. The observation items before, during, after operation and the follow up were recorded. Groups were divided by the therapeutic effect. And risk factors were screened by means of logistic method. [Resuhs]The aggressive lumbar diseectomy and postoperative JOA score were the protective factors of good clinical outcome. [Conclusion]The aggressive discectomy is the most powerful factor affecting the better long-term outcome. The postoperative JOA score ≥25 in the follow up predict good clinical outcome.

关 键 词：腰椎 椎间盘移位/外科学 

分 类 号：R681.53[医药卫生—骨科学]