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腰椎间盘突出症手术术后疗效与术前邻近椎间盘退变程度之间的关系

Relationship Between the Effect of Surgery for Lumbar Disc Herniation and Degradation Degree of Adjacent Intervertebral Disc
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摘要 目的探讨腰椎间盘突出症手术术后疗效与术前邻近椎间盘退变程度之间的关系。方法选择2012年5月至2016年6月期间我院收治腰椎间盘突出患者82例,按照Pfirrmann退变椎间盘MRI分级退变指数,分为Ⅰ组(正常:4分)、Ⅱ组(轻度退变:5~10分)、Ⅲ组(重度退变>10分),观察比较三组患者治疗后的腰背、下肢VAS疼痛评分以及ODI功能障碍指数。结果三组患者的下肢VAS评分比较无明显差异(P>0.05);Ⅲ、Ⅱ、Ⅰ组患者的年龄、Modic改变发生率、腰背VAS疼痛评分和ODI障碍指数依次下降,组间差异有统计学意义(P<0.05)。结论邻近椎间盘退变程度与腰椎间盘突出症手术术后疗效具有密切联系,Pfirrmann退变椎间盘MRI分级退变指数对于评估腰椎间盘突出症手术术后疗效具有重要参考价值。 Objective To analyze the relationship between the effect of surgery for lumbar disc herniation (LDH) and degradation degree of adjacent intervertebral disc. Methods 82 cases of LDH patients admitted to our hospital from May 2012 to June 2016 were selected. According to the degeneration index (based on modified Pfirrmann MRI classification of degenerative intervertebral discs), all cases were divided into group Ⅰ (normal: 4 ), group Ⅱ(mild degeneration: 5 - 10 ) and group Ⅲ (severe degeneration 〉 10). The VAS scores of low back and leg, and ODI dysfunction index were compared among 3 groups. Results No significant difference was found among 3 groups in the VAS score of leg (P 〉0.05). The VAS score of low back, ODI dysfunction index, incidence of Modic change and age of patients in group Ⅲ, group Ⅱ and group Ⅰ declined in turn, with statistical differences (P〈0.05). Conclusions There is a close relationship between the effect of surgery for lumbar disc herniation and degradation degree of adjacent intervertebral disc, and the degeneration index has important reference value in evaluating the effect of surgery for LDH.
作者 魏南兴
出处 《临床医学工程》 2017年第2期243-244,共2页 Clinical Medicine & Engineering
关键词 腰椎间盘突出症 VAS评分 手术效果 Lumbar disc herniation VAS score Effect of surgery
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