摘要
目的探讨下肢关节病变对腰椎手术疗效的影响及治疗方法。方法回顾性分析237例存在下肢关节病变并行腰椎手术的病例的术后疗效,并采取不同的治疗手段干预。取术前有下肢关节疼痛、但查体及影像学检查除外下肢关节退变的病例160例作为对照组,所有患者均在入院时与出院前针对膝、髋关节疼痛行0-100疼痛视觉模拟量表评分。计算术后下肢关节疼痛改善率。结果本组行腰椎手术的病例中伴有膝关节退变的153例,占64．56％,髋关节退变的84例,占35．44％。实验组膝关节退行性变疼痛症状平均改善率55．20％。髋关节退变疼痛症状平均改善率46．88％。对照组下肢关节疼痛术后平均改善率90．54％。结论下肢关节病变影响腰椎手术的疗效,重要的是在术前完善检查,明确下肢关节疼痛的原因,术后采取相应措施治疗。
Objective To study the effects of lumber operation on patients with pathologic changes of the lumbar vertebrae combined with degenerative diseases of lower extremity joints. Methods 237 patients with pathologic changes of the lumbar vertebrae combined with pain and/or limited activity of hip or knee joint, 153 （64.56%） with degenerative knee joints and 84 （35.44%） with degenerative hip joints. received lumbar surgery. 160 patients with lower extremity joint pain and negative physical examination and imageology before the surgery were used as controls. The joint pain value was assessed on all patients with Visual Analog Scale before and after treatment and the joint pain relief rate was calculated. Results The average pain relief rate of the control group was 90.54% , significantly higher than those of the degenerative knee joint group （55.20%） and the degenerative hip joint group （46.88%, both P 〈 0.05 ）. Conclusion Diseases of lower extremity joints influence the lumbar surgical outcomes. It is very important to make a definite diagnosis of the lower extremity joint pain pre-operationally and take appropriate measures to treat the pain according to its pathogenesis.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2006年第29期2021-2023,共3页
National Medical Journal of China
关键词
脊柱疾病
腰椎
髋关节
膝关节
骨关节炎
Spional diseases
Lumbar wertebrae
Hip joint
Knee joint
Osteoarthritis
