显微内镜腰椎间盘摘除技术治疗腰椎间盘突出症的预后影响因素分析

Influence factors for the prognosis of lunmbar disc herniation treated by microendoscopic discectomy

目的探讨显微内镜腰椎间盘摘除技术(MED)治疗腰椎间盘突出症影响预后的因素。方法回顾分析我院收治的103例行显微内镜腰椎间盘摘除技术治疗腰椎间盘突出症患者的临床资料。结果按照Macnab标准评定,优84例,良及以下19例。疗效不同的两组患者在年龄、病程、多节段病变、焦虑与恐惧心理、术后功能锻炼方面的差异均具有统计学意义(P<0.05);经多因素非条件Logistic回归分析显示,年龄、病程、多节段病变是影响预后的独立危险因素。结论显微内镜腰椎间盘摘除技术治疗腰椎间盘突出症创伤小,出血少,术后恢复快,疗效满意。高龄、病程长、多节段病变是影响其治疗预后的主要危险因素。

Objective To investigate the factors that influence the prognosis of lunmbar disc herniation treated by microendoscopic discectomy （MED）. Methods The clinical data of 103 patients with lunmbar disc herniation treated by microendoscopic discectomy in our hospital were analyzed. Results According to Macnab criteria, the clinical efficacy was excellent in 84 cases, good and less than good in 19 cases. The two group had significant difference in age, course of disease, multiple segment lesions, anxiety and fear, postoperative functional exercise （P0.05）. Multiple factor logistic regression analysis revealed that age, course of disease and multiple segment lesions were the main risk factors for the prognosis. Conclusion Microendoscopic discectomy shows little trauma, less bleeding, fast recovery, and satisfactory results in the treatment of lumbar disc herniation. Age, course of disease and multiple segment lesions are the main risk factors for the prognosis.