影响腰椎间盘突出症患者术后早期疗效的相关因素分析

目的 探讨腰椎间盘突出症术后早期影响疗效的相关因素.方法 采用前瞻性队列研究,从2007年12月起连续收录首次入院手术治疗的腰椎间盘突出症患者208例,详细记录其术前、术中、术后各观察项目,并在术后3月、术后1年对患者进行复查随访,按疗效分组,运用logistic 回顾筛选风险因子.结果 （1）大部分椎间盘组织摘除是良好疗效最强的保护因素.（2）术前JOA评分≥17分的患者术后早期可能出现疗效不良,术后3月JOA评分≥25分,术后1年JOA≥24分,提示术后早期疗效良好.结论 术前、术后JOA评分、大部分椎间盘组织摘除均为疗效的影响因素.

The correlative factors affected the early clinical efficiency of surgical management of lumbar disc degeneration

Objective To explore the correlative factors that affected the early clinical efficacy of surgical management of lumbar disc herniation.Method 208 cases of lumbar disc herniation were recruited since December 2007.The details of their therapy in different periods were compared and analyzed.Result The aggressive discectomy was the most powerful factor related to the better early clinical outcome.The patients with preoperative JOA score ＞ 17 were associated to the poor clinical outcome.The patients with postoperative JOA score ≥ 25 on 3 month and ≥ 24 on 1 year after operations were associated to better early clinlcal outcome.Conclusion The pre- and post-operative JOA score and aggressive discectomy were the factors affected the clinical outcome.