岭南现代临床外科2025，Vol.25Issue(1)：47-53,7.DOI:10.3969/j.issn.1009-976X.2025.01.009
椎间盘区域定位分型方法在经皮腰椎间孔镜手术中的应用及对术后预后的影响
Application of disc region localization and classification method in percutaneous endoscopic lum-bar discectomy and its predictive role on postoperative prognosis
摘要
Abstract
Objective This study aims to improve the accuracy of preoperative evaluation for percuta-neous endoscopic lumbar discectomy(PELD)through a modified regional localization and classification method for intervertebral discs,providing a new basis for individualized prediction of postoperative func-tional recovery and recurrence risk for patients.Methods This is a retrospective cohort study including 113 patients with LDH who underwent PELD treatment at Shenshan Medical Center,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,between January 1,2022,and September 30,2023.The regional localization and classification method was applied based on imaging data to record the position and most protruding point of the intervertebral disc in the sagittal,transverse,and coronal planes.Through preop-erative imaging data and clinical evaluations(VAS score,JOA score,ODI score,etc.),the impact of regional localization and classification on postoperative recovery and prognosis was systematically analyzed.Results L5/S1 and L4/5 were the most commonly affected segments among LDH patients.Furthermore,the most protruding point of the intervertebral disc could effectively predict patients'functional recovery at 1 year postoperatively,as indicated by VAS score(P=0.039),JOA score(P=0.031),and ODI score(P=0.045).Additionally,PELD surgery reduced intraoperative blood loss,shortened hospital stay,and contributed to rapid recovery for patients.Conclusion This study suggests that the modified regional localization and classification method can provide a new predictive approach for different patients with intervertebral disc herniation undergoing PELD surgery,thereby assessing prognostic differences and potential recurrence probabilities among various patients.关键词
腰椎间盘突出症/经皮腰椎间孔镜手术/椎间盘区域定位分型/术后预后Key words
lumbar disc herniation/percutaneous endoscopic lumbar discectomy/regional localiza-tion and classification of intervertebral discs/postoperative prognosis分类
医药卫生引用本文复制引用
李涛,叶记超,李双星,谢天宇,欧茂塔,王镇波,李敏,范吉,唐勇..椎间盘区域定位分型方法在经皮腰椎间孔镜手术中的应用及对术后预后的影响[J].岭南现代临床外科,2025,25(1):47-53,7.基金项目
汕尾市科技计划(社会发展领域)项目(2023C014) （社会发展领域）
广东省医学科学科研基金项目(A2024721) （A2024721）
广东省中医药局科研项目(20241340) （20241340）
