[1]高苏麟 钟远鸣 石喜春.脊柱内镜治疗腰椎管狭窄症术后短期疗效欠佳的因素分析[J].大众科技,2020,22(08):76-79.
　Analysis of the Factors of Qoor Short-Term Efficacy of Spinal Endoscopy in the Treatment of Lumbar Spinal Stenosis[J].Popular Science & Technology,2020,22(08):76-79.
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脊柱内镜治疗腰椎管狭窄症术后短期疗效 欠佳的因素分析()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
22
期数:
2020年08
页码:
76-79
栏目:
医药与卫生
出版日期:
2020-08-20

文章信息/Info

Title:
Analysis of the Factors of Qoor Short-Term Efficacy of Spinal Endoscopy in the Treatment of Lumbar Spinal Stenosis
作者:
高苏麟 钟远鸣 石喜春
（广西中医药大学第一附属医院，广西 南宁 530023）
关键词:
经皮脊柱内镜腰神经根减压术; 腰椎管狭窄症; 术后疗效; 不良因素
Keywords:
percutaneous endoscopic lumbar decompression(PELD) lumbar spine stenosis(LSS) postoperative effect adverse factors
文献标志码:
A
摘要:
目的：对导致腰椎管狭窄症(lumbar spine stenosis，LSS)患者通过脊柱内镜技术治疗后短期疗效欠佳的不良因素 进行分析。方法：回顾性的分析 2016 年 10 月至 2019 年 2 月在广西中医药大学第一附属医院接受经皮脊柱内镜腰神经根减压术 （percutaneous endoscopic lumbar decompression，PELD）的治疗的 LSS 患者 160 例的临床资料，运用改良 MacNab 疗效评定标 准对患者进行疗效评估，将患者分为预后不良组（n=12 例）和预后优良组（n=148 例），采用单因素和二次 Logistic 回归分析探 讨造成 LSS 患者术后短期内疗效欠佳的危险因素。结果：LSS 患者 PELD 术后短期预后不良率为 7.5%（12/160）。预后不良组 中年龄＞60 岁、合并糖尿病史、狭窄类型为腰椎间盘突出、功能锻炼时间较短、合并骨质疏松症、重体力劳动者患者构成比均 显著高于预后优良组（均 P＜0.05）。二次 Logistic 回归分析显示：年龄＞60 岁、合并糖尿病史、有吸烟史、功能锻炼时间较短、 合并骨质疏松症、重体力劳动者是导致 LSS 患者 PELD 术后短期疗效欠佳的因素（OR＝1.342、2.182、1.226、7.626、2.565、 1.594、45.179，均 P＜0.05）。结论：目前 PELD 是治疗 LSS 的重要及有效的方法之一，但是造成其手术后短期疗效欠佳不良因 素较多，值得临床广泛重视，同时需要积极采取针对性措施，以进一步提高患者术后短期疗效。
Abstract:
Objective: To analyze the adverse factors that led to the short-term poor efficacy of LSS patients treated with spinal endoscopy. Methods: To retrospectively analyze the clinical data of 160 LSS patients who received PELD in the First Hospital of Guangxi University of Traditional Chinese Medicine from October 2016 to February 2019, the improved MacNab efficacy evaluation standard was used to evaluate the efficacy of the patients, the patients were divided into poor prognosis group (n=12 cases) and excellent prognosis group (n=148 cases). The single factor and secondary logistic regression analysis were used to investigate the risk factors for poor short-term postoperative outcomes in LSS patients. Results: The short-term poor prognosis rate of LSS patients after PELD was 7.5% (12/160). In the poor prognosis group, the proportion of patients with age＞60 years, had a history of diabetes, type of stenosis was lumbar disc herniation, short time of functional exercise, combined with osteoporosis, and the proportion of patients with heavy manual labor were significantly higher than those with excellent prognosis group(both P＜0.05). Secondary logistic regression analysis showed that: age＞60 years, history of diabetes, history of smoking, short time of functional exercise, combined with osteoporosis, and heavy manual labor are factors that cause poor short-term efficacy after PELD in LSS patients ( OR=1.342, 2.182, 1.226, 7.626, 2.565, 1.594, 45.179, all P＜0.05). Conclusion: At present, PELD is one of the important and effective methods for the treatment of LSS, but there are many adverse factors causing poor short-term postoperative efficacy, which deserve extensive clinical attention. Meanwhile, targeted measures should be taken actively to further improve the short-term postoperative efficacy of patients.

参考文献/References:

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备注/Memo

备注/Memo:
【收稿日期】2020-06-10 【作者简介】高苏麟（1991－），男，广西中医药大学第一附属医院医师，研究方向为脊柱脊髓疾病的诊治。
更新日期/Last Update: 2020-11-17