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腰椎间盘突出症患者单侧双通道脊柱内镜术后复发的危险因素分析

吕强 刘睿 柳申鹏

中国内镜杂志2024,Vol.30Issue(3):47-51,5.
中国内镜杂志2024,Vol.30Issue(3):47-51,5.DOI:10.12235/E20230313

腰椎间盘突出症患者单侧双通道脊柱内镜术后复发的危险因素分析

Analysis of risk factors for recurrence after unilateral biportal endoscopy in patients with lumbar disc herniation

吕强 1刘睿 1柳申鹏1

作者信息

  • 1. 新乡医学院第一附属医院 骨外科,河南 新乡 453100
  • 折叠

摘要

Abstract

Objective To explore the risk factors for recurrence after unilateral biportal endoscopy in patients with lumbar disc herniation.Methods Clinical data of 156 patients with lumbar disc herniation were retrospectively analyzed.All the patients underwent unilateral biportal endoscopy treatment.Follow up for 2 years after surgery,and the recurrence rate of all patients was recorded.The clinical characteristics of patients in the recurrent and non recurrent groups were compared,the factors influencing postoperative recurrence were analyzed by multivariate Logistic regression.Results After a 2-year follow-up,a total of 22 patients experienced recurrence,with a recurrence rate of 14.10%(22/156).The results of multivariate Logistic analysis showed that,the age>60 years old,fiber ring break>5 mm,incomplete nucleus pulposus removal,and postoperative intervertebral motion>10 ° were independent risk factors for recurrence after unilateral biportal endoscopy in patients with lumbar disc herniation(P<0.05).Conclusion Age>60 years old,fiber ring break>5 mm,incomplete removal of the nucleus pulposus,and postoperative intervertebral motion>10 ° were independent risk factors for recurrence after unilateral biportal endoscopy in patients with lumbar disc herniation,and prevention should be strengthened.

关键词

腰椎间盘突出症/单侧双通道脊柱内镜术/复发

Key words

lumbar disc herniation/unilateral biportal endoscopy/recurrence

分类

医药卫生

引用本文复制引用

吕强,刘睿,柳申鹏..腰椎间盘突出症患者单侧双通道脊柱内镜术后复发的危险因素分析[J].中国内镜杂志,2024,30(3):47-51,5.

基金项目

河南省高等学校重点科研项目计划(No:19A320003) (No:19A320003)

中国内镜杂志

OACSTPCD

1007-1989

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