腰椎间盘突出症手术疗效预测因素

被引:58
作者
杨连发
李子荣
岳德波
张念非
吴宇光
机构
[1] 中日友好医院骨科!北京市和平街北口
关键词
腰椎间盘突出症; 手术治疗; 预测因素;
D O I
暂无
中图分类号
R687.3 [骨骼手术];
学科分类号
摘要
目的 :分析影响腰椎间盘突症 (LDH)手术疗效的因素 ,找出LDH的手术适应证。方法 :问卷调查手术治疗的LDH患者 10 8例 ,完成随访者 6 3例 ,平均随访时间 1年 ,疗效优良者 5 0例 ,差者 13例。将患者详细的术前临床及影像学资料进行统计学分析和处理 ,与随访结果比较 ;并以多变量判别分析时各变量的赋值为基础制订评分表。结果 :疗效优良组与疗效差组患者之间 ,其症状、体征及影像学检查结果在统计学上有显著性差异 ;应用评分表对本组患者的术前临床资料进行综合评分 ,以 2 0分为临界值可使 88 9%的患者得到正确分类。结论 :通过详细的临床和影像学资料及评分表术前就能对LDH患者的手术疗效作出较准确的判断 ,减少手术失败率
引用
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页码:18 / 22
页数:5
相关论文
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