臭氧消融术治疗腰椎间盘突出症后1年内复发情况及影响因素分析  

Analysis of recurrence and influencing factors of lumbar disc herniation after ozone ablation treatment within one year

作　　者：杨渝勇[1] 王扬 雷涛 YANG Yu-yong;WANG Yang;LEI Tao(Department of Orthopedics,Chongqing General Hospital of Armed Police Force,Chongqing,400061,China.)

机构地区：[1]武警重庆市总队医院骨科,重庆400061

出　　处：《颈腰痛杂志》2018年第6期715-717,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的研究臭氧消融术治疗腰椎间盘突出症后1年内复发情况,并进行影响因素分析。方法纳入2014-04-2017-08行臭氧消融术治疗的192例腰椎间盘突出症患者,术后随访1年,观察复发情况,分别设为复发组与非复发组。调查两组患者相关病历资料,行单因素及多因素Logistic回归分析,确定术后复发的危险因素。结果 192例患者1年内复发25例,复发率为13.02%。单因素分析显示,病程、吸烟史、臭氧分布、腰椎节段活动度、突出类型、术前VAS评分、椎间盘退变改良Pfirrmann分级等指标,组间差异有统计学意义(P<0.05);多因素Logistic回归分析显示,吸烟史、病程>3年、臭氧聚集分布、腰椎节段活动度>10°,均是术后复发的独立危险因素。结论臭氧消融术治疗腰椎间盘突出症1年内有一定的复发率,吸烟史、病程>3年、臭氧聚集分布、腰椎节段活动度>10°均可增加其复发风险。Objective To study the recurrence and influencing factors of lumbar disc herniationafter ozone ablation treatment within one year. Methods From April 2014 to August 2017, 192patients with lumbar disc herniation who underwent ozone ablation were followed up for 1 year. Therecurrence was observed, and the patients were divided into recurrence group and non -recurrencegroup. Relevant medical records of the two groups were investigated. Univariate and multivariatelogistic regression analysis was performed to determine the risk factors of postoperative recurrence.Results In 192 cases, 25 cases recurred within 1 year, and the recurrence rate was 13.02% .Univariate analysis showed that there were significant differences in the course of disease, smokinghistory, ozone distribution, lumbar segmental activity, herniation type, preoperative VAS score,modified Pfirrmann classification of intervertebral disc degeneration between the two groups （P〈0.05）.Multivariate logistic regression analysis showed that smoking history, course of disease 〉3 years, ozoneaccumulation distribution, lumbar segmental mobility 〉10° were independent risk factors forpostoperative recurrence. Conclusion Ozone ablation in the treatment of lumbar disc herniation has acertain recurrence rate within 1 year. The smoking history, duration of disease 〉3 years, distribution ofozone accumulation, and lumbar segmental mobility 〉10° can increase the risk of recurrence.

关 键 词：臭氧消融术 腰椎间盘突出症 1年内复发率 影响因素 

分 类 号：R681.53[医药卫生—骨科学]