腰椎间盘突出症患者单侧双通道脊柱内镜术后复发的危险因素分析

Analysis of risk factors for recurrence after unilateral biportal endoscopy in patients with lumbar disc herniation

摘要:

目的 探讨腰椎间盘突出症患者单侧双通道脊柱内镜术后复发的危险因素。方法 回顾性分析156例腰椎间盘突出症患者的临床资料，所有患者均接受单侧双通道脊柱内镜术治疗，术后随访2年，记录复发情况，比较复发组和未复发组临床特征，采用多因素Logistic回归模型分析影响术后复发的因素。结果 术后随访2年，共有22例患者复发，复发率为14.10%（22/156）；多因素Logistic分析结果显示，复发组年龄 > 60岁、纤维环破口 > 5 mm、髓核摘除不彻底和术后椎间活动度 > 10°，是影响腰椎间盘突出症患者单侧双通道脊柱内镜术后复发的独立危险因素（P < 0.05）。结论 年龄 > 60岁、纤维环破口 > 5 mm、髓核摘除不彻底和术后椎间活动度 > 10°，是影响腰椎间盘突出症患者单侧双通道脊柱内镜术后复发的独立危险因素，应加强防范。

Abstract:

Objective To explore the risk factors for recurrence after unilateral biportal endoscopy in patients with lumbar disc herniation.Methods Clinical data of 156 patients with lumbar disc herniation were retrospectively analyzed. All the patients underwent unilateral biportal endoscopy treatment. Follow up for 2 years after surgery, and the recurrence rate of all patients was recorded. The clinical characteristics of patients in the recurrent and non recurrent groups were compared, the factors influencing postoperative recurrence were analyzed by multivariate Logistic regression.Results After a 2-year follow-up, a total of 22 patients experienced recurrence, with a recurrence rate of 14.10% (22/156). The results of multivariate Logistic analysis showed that， the age > 60 years old, fiber ring break > 5 mm, incomplete nucleus pulposus removal, and postoperative intervertebral motion > 10 ° were independent risk factors for recurrence after unilateral biportal endoscopy in patients with lumbar disc herniation (P < 0.05).Conclusion Age > 60 years old, fiber ring break > 5 mm, incomplete removal of the nucleus pulposus, and postoperative intervertebral motion > 10 ° were independent risk factors for recurrence after unilateral biportal endoscopy in patients with lumbar disc herniation, and prevention should be strengthened.