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哈尔滨医药  2023, Vol. 43 Issue (3): 12-14    DOI: 10.3969/j.issn.1001-8131.2023.03.005
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腰椎间盘突出症经皮椎间孔镜治疗后复发的高危因素
张东伟
上蔡蔡州医院骨一科,河南 上蔡 463800
Risk Factors for Recurrence of Lumbar Disc Herniation After Percutaneous Transforaminal Endoscopic Treatment
Zhang Dongwei
Department of Orthopedics,Caizhou Hospital,Shangcai,Shangcai 463800,Henan,China
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摘要 目的 探讨腰椎间盘突出症(LDH)经皮椎间孔镜下腰椎间盘切除术(PTED)治疗后复发的高危因素。方法 研究对象选择80例腰椎间盘突出症患者,所有研究对象均行PTED治疗,且术后6个月内及时跟进随访并统计术后6个月内LDH复发情况并分组,统计并记录所有研究对象的基本资料,包括患者的年龄、体重指数(BMI)、性别、突出类型、糖尿病、高血脂、吸烟、高血压、饮酒,分析LDH经PTED治疗后复发的影响因素。结果 80例LDH患者经PTED治疗后复发9例,复发率为11.25%;经单因素分析显示,LDH患者经PTED治疗后复发不受性别、高血脂、高血压及饮酒的影响,差异无统计学意义(P>0.05),但可能受年龄、BMI、突出类型及糖尿病、吸烟的影响,差异有统计学意义(P<0.05);Logistic回归分析发现,年龄、BMI、突出类型及糖尿病、吸烟均是LDH患者经PTED治疗后复发的影响因素(OR>1,P<0.05)。结论 年龄大、高BMI、突出类型及合并糖尿病、吸烟的患者经PTED治疗后复发的风险较高,临床可早期给予针对性干预措施,减少术后复发。
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张东伟
关键词 腰椎间盘突出症经皮椎间孔镜下腰椎间盘切除术突出类型    
AbstractObjective To investigate the risk factors for recurrence of lumbar disc herniation(LDH)after percutaneous transforaminal discectomy(PTED).Methods The research subjects selected 80 patients with lumbar intervertebral disc herniation .All subjects were treated with PTED,and they should be followed up in time within 6 months after the operation.The recurrence of LDH within 6 months after the operation was counted and grouped,and the basic information of all subjects,including gender,age,body mass index(BMI),prominent type,hyperlipidemia,hypertension,diabetes,smoking,and drinking,were recorded and recorded.To analyze the influencing factors of recurrence of LDH after PTED treatment.Results 9 cases of 80 LDH patients relapsed after PTED treatment,the recurrence rate was 11.25%;Univariate analysis showed that the recurrence of LDH patients after PTED treatment was not affected by gender,hyperlipidemia,hypertension and alcohol consumption,and the difference was not statistically significant(P>0.05),but may be affected by age,BMI,type of prominence,diabetes,and smoking,and the difference was statistically significant(P<0.05);Logistic regression analysis found that age,BMI,type of prominence,diabetes,and smoking were all significant Influencing factors of recurrence after PTED treatment in LDH patients(OR>1,P<0.05).Conclusion Patients with older age,high BMI,prominent type,diabetes,and smoking are at higher risk of relapse after PTED treatment,and targeted interventions can be given early to reduce postoperative recurrence.
Key wordslumbar disc herniation    percutaneous transforaminal lumbar discectomy    herniation types
收稿日期: 2022-07-26     
PACS:  R816.8  
引用本文:   
张东伟. 腰椎间盘突出症经皮椎间孔镜治疗后复发的高危因素[J]. 哈尔滨医药, 2023, 43(3): 12-14.
Zhang Dongwei. Risk Factors for Recurrence of Lumbar Disc Herniation After Percutaneous Transforaminal Endoscopic Treatment. journal1, 2023, 43(3): 12-14.
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