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
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)