皮肤至椎板距离和皮下脂肪厚度对微创腰椎减压术后的影响  

Effect of skin to laminal distme and subcutaneous fat thickness on minimally invasive lumbar decompression

作　　者：孙莹莹[1] 李玉静[2] 孟婧文 SUN Ying-ying;LI Yu-jing;MENG Jing-wen(Beijing Tongren Hospital,Capital Medical University,Department of Anesthesiology,Beijing 100730,China;Beijing Tongren Hospital,Capital Medical University,Department of Orthopedics,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院麻醉科,北京100730 [2]首都医科大学附属北京同仁医院骨科,北京100730

出　　处：《颈腰痛杂志》2024年第4期673-677,共5页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨皮肤至椎板距离(skr-to-laminal distme,SLD)和皮下脂肪厚度对微创腰椎减压术后的影响。方法选择2021年1月至2023年6月在该院接受微创腰椎减压术的173例患者作为研究对象,收集患者SLD距离和皮下脂肪厚度数据,分别根据中位值分为低值组和高值组,观察两组患者术前、住院及出院资料差异。结果高SLD距离患者与低SLD距离患者的体质量指数(body mass index,BMI)、肥胖、年龄、ASA分级、高血压、糖尿病、饮酒等比较,差异存在统计学意义(P<0.05);两组患者性别、心脏病、脑血管疾病、慢性肾脏病、吸烟、手术类型、相邻节段病变、住院时间、即时并发症、住院并发症、出院并发症、总并发症、术前ODI、术后1年ODI、术前腰痛VAS、术后1年腰痛VAS、术前腿痛VAS、术后1年腿痛VAS比较,差异均无统计学意义(P>0.05)。高皮下脂肪厚度患者和低皮下脂肪厚度患者的BMI、肥胖、年龄、ASA分级、高血压、糖尿病、饮酒比较,差异存在统计学意义(P<0.05);两组患者性别、心脏病、脑血管疾病、慢性肾脏病、吸烟、手术类型、相邻节段病变、住院时间、即时并发症、住院并发症、出院并发症、总并发症、术前ODI、术后1年ODI、术前腰痛VAS、术后1年腰痛VAS、术前腿痛VAS和术后1年腿痛VAS比较,差异均无统计学意义(P>0.05)。Pearson相关性分析显示,SLD距离和皮下脂肪厚度与BMI均存在显著相关性(r=0.703、0.712,P<0.05)。结论手术部位局部软组织厚度对腰椎微创减压术的临床结果无显著影响。Objective To investigate the effects of skin to Laminal Distme(SLD)and subcutaneous fat thickness on minimally invasive lumbar decompression.Method 173 cases of minimally invasive lumbar decompression patients in our hospital during Jan.,2021~Jun.,2023 were selected as studying object,SLD and subcutaneous fat thickness were collected,They were divided into low value group and high value group according to the median value,The differences of preoperative,hospitalization and discharge data between the two groups were observed.Results There were significant differences in BMI,obesity,age,ASA grade,hypertension,diabetes and alcohol consumption between patients with high SLD and patients with low SL distance(P<0.05),and there was no statistically significant difference(P>0.05)between the two groups in terms of gender,heart disease,cerebrovascular disease,chronic kidney disease,smoking,surgical type,adjacent segment lesion,hospitalization time,immediate complications,hospitalization complications,discharge complications,total complications,baseline ODI,1-year postoperative ODI,baseline low back pain VAS,1-year postoperative low back pain VAS,baseline leg pain VAS,and 1-year postoperative leg pain VAS.There were significant differences in BMI,obesity,age,ASA grade,hypertension,diabetes and alcohol consumption between patients with high subcutaneous fat thickness and patients with low subcutaneous fat thickness(P<0.05),and the gender,heart disease,cerebrovascular disease,chronic kidney disease,smoking,surgical type,adjacent segment lesion,length of hospital stay,immediate complications,hospitalization complications,discharge complications,total complications,baseline ODI,1-year postoperative ODI,baseline low back pain VAS,1-year postoperative low back pain VAS,baseline leg pain VAS,and 1-year postoperative leg pain VAS(P>0.05).The Pearson correlation showed a significant correlation between SLD and subcutaneous fat thickness and BMI(r=0.703,0.712,P<0.05).Conclusions The local soft tissue thickness at the surgical site ha

关 键 词：微创腰椎减压术 皮下脂肪厚度 皮肤至椎板距离 并发症 

分 类 号：R687.3[医药卫生—骨科学]