摘要
目的探讨腰椎管狭窄症合并糖尿病患者的临床特点及术后康复效果。方法对行减压术的28例糖尿病(A组)和28例非糖尿病(B组)腰椎管狭窄患者临床特点进行回顾性分析,平均随访时间2.8年,对术后康复效果进行评估。结果除A组有症状突然发作、夜间痛、非体位性缓解外,两组的其他术前症状相似,A组有78.26%、B组有25%的患者出现神经传导速度减慢,诊断有周围血管供血不足的在糖尿病组有28.93%、非糖尿病组有3.75%,两组术后康复效果相似。结论临床病史、神经传导检查和CT检查是腰椎管狭窄症合并糖尿病最有价值的诊断手段,糖尿病不影响术后康复。
Objective To investigate the clinical features and the effects of postoperative rehabilitation of patients who have lumbar spinal stenosis accompanied by diabetes. Methods We reviewed the clinical features of 28 diabetic（group A） and 28 non-diabetic（group B） patients who had undergone decompression for lumbar spinal stenosis,and all cases had were followed-up for an average of 2.8 years and the effects of postoperative rehabilitation were evaluated. Results The preopreative symptoms were similar in the two groups except that an abrupt onset of symptoms, the presence of night pain and absence of any posture-related pain relief were recorded only in group A. Nerve-conduction velocity was slowed in 78.26% of group A and in 25% of the group B. Peripheral vascular deficiency was diagnosed in 28.03 % of patients with diabetes and in 3.57% of non-diabetics. The effects of postoperative rehabilitation were similarly successful in the two groups. Conclusion The clinical history, the results of nerve-conduction studies and CT are the most useful diagnostic tools in diabetic patients who have lumbar spinal stenosis. The diabetes don＇t affect the effects of postoperative rehabilitation.
出处
《重庆医学》
CAS
CSCD
2008年第19期2148-2150,共3页
Chongqing medicine
关键词
糖尿病性神经病
神经性跛行
神经传导
康复
diabetic neuropathy
neurogenic claudication
never conduction
rehabilitation
