翁峰标;周建新;杨立文;李勇;刘荣;顾勇;朱立帆;

• 1:苏州吴江区第一人民医院骨科

摘要(Abstract)：

[目的]探讨后路减压植骨融合内固定治疗腰椎间盘突出症术后持续腰痛(PLBP)的发生率及危险因素分析。[方法]回顾性分析2015年1月~2017年12月于本院接受腰椎后路减压植骨融合内固定术的腰椎间盘突出症患者123例。在所有随访时间点,包括术后3、6和12个月,疼痛NRS评分>50的患者判定为PLBP。记录PLBP发生情况,比较PLBP组与非PLBP组的临床与影像资料,采用多元logistic回归分析PLBP发生的危险因素。[结果]123例患者中,11例判定为PLBP,占8.94%;其余112例患者为非PLBP,占91.06%。两组患者在年龄、性别、BMI、合并症、吸烟和饮酒、手术时间、术中失血量、手术方式、融合节段数量、切口大小、术前LL、矫正LL、术前腰椎活动度和Modic改变方面的差异无统计学意义(P>0.05)。但是,PLBP组术前腰痛NRS评分显著高于非PLBP组(P<0.05);PLBP组L_5 S_1节段手术占比显著高于非PLBP组(P<0.05);PLBP组的术前椎旁肌FIR显著大于非PLBP组(P<0.05)。多元logistic回归分析显示术前NRS评分、手术节段和术前椎旁肌FIR是PLBP的危险因素。[结论]腰椎间盘突出症后路减压植骨融合内固定术后PLBP的发生率为8.94%,其危险因素包括术前腰痛、手术节段为L5 S1和术前椎旁肌退变。

关键词(KeyWords)： 腰椎间盘突出症;减压植骨融合内固定;持续性腰痛;危险因素

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金青年基金项目（编号：81601891）

作者(Author): 翁峰标;周建新;杨立文;李勇;刘荣;顾勇;朱立帆;

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DOI:

参考文献(References)：

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