本文選題：腰椎管狹窄癥 + 腰椎術(shù)后綜合征��； 參考：《廣西中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:探討退行性腰椎管狹窄合并腰椎失穩(wěn)癥術(shù)后疼痛發(fā)生的危險因素,以期更好的預(yù)測腰椎術(shù)后綜合征的發(fā)生。方法:回顧分析2012年11月至2015年6月,在我院脊柱外科住院,根據(jù)患者癥狀、體征及影像學(xué)檢查明確診斷為單/雙節(jié)段退行性腰椎管狹窄合并腰椎失穩(wěn)癥,并行腰椎減壓及內(nèi)固定的手術(shù)病人,手術(shù)后進(jìn)行隨訪,隨訪時間6-35個月,平均19.7個月,根據(jù)腰椎術(shù)后綜合征的定義,判定出腰椎術(shù)后疼痛的患者,并回顧分析患者的臨床資料,對可能發(fā)生腰椎術(shù)后疼痛的可能危險因素進(jìn)行二分類非條件單因素和多因素Logistic回歸分析,探討其相關(guān)因素。結(jié)果:共計納入術(shù)后患者259例,獲得隨訪242例,其中符合腰椎術(shù)后疼痛患者18例,不符合患者224例。整理兩組臨床資料,單因素結(jié)果分析顯示:(1)性別、年齡、吸煙史、飲酒史、高血壓病、糖尿病、定量CT值、單雙節(jié)段等因素在患者術(shù)后疼痛的發(fā)生上無統(tǒng)計學(xué)意義(P0.05);(2)病程因素在患者術(shù)后疼痛的發(fā)生上有統(tǒng)計學(xué)意義(P0.05)。多因素結(jié)果分析同樣顯示:病程因素在患者術(shù)后疼痛的發(fā)生上有統(tǒng)計學(xué)意義(P0.05),且病程12月的患者發(fā)生腰椎術(shù)后綜合征的風(fēng)險相對較高。結(jié)論:退行性腰椎管狹窄合并腰椎失穩(wěn)癥術(shù)后疼痛發(fā)生的相關(guān)危險因素是病程,病程越久,發(fā)生術(shù)后疼痛的幾率越高。
[Abstract]:Objective: to investigate the risk factors of postoperative pain in degenerative lumbar spinal stenosis combined with lumbar instability in order to predict the occurrence of lumbar postoperative syndrome. Methods: from November 2012 to June 2015, the patients were hospitalized in spinal surgery in our hospital. According to the symptoms, signs and imaging examination, they were diagnosed as single / double degenerative lumbar spinal stenosis with lumbar instability. Patients undergoing lumbar decompression and internal fixation were followed up for 6-35 months with an average of 19.7 months. According to the definition of lumbar postoperative syndrome, the patients with postoperative pain were identified, and the clinical data of the patients were analyzed retrospectively. The possible risk factors of lumbar postoperative pain were analyzed by Logistic regression analysis. Results: a total of 259 patients were included in the study. 242 cases were followed up, including 18 cases of postoperative pain and 224 cases of nonconformity. Univariate analysis showed sex, age, smoking history, drinking history, hypertension, diabetes, quantitative CT value. There was no significant difference in the occurrence of postoperative pain between single and double segments. The multivariate analysis also showed that there was a significant difference in the incidence of postoperative pain in patients with disease course, and the risk of lumbar postoperative syndrome was higher in patients with 12 months of disease course. Conclusion: the risk factor of postoperative pain of degenerative lumbar spinal stenosis combined with lumbar instability is the course of disease. The longer the course of disease, the higher the incidence of postoperative pain.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R687.3

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本文編號：1898472