影响腰椎间盘突出症患者术后中长期疗效的相关因素分析

【目的】探讨腰椎间盘突出症患者手术后中长期疗效的影响因素。【方法】采用回顾性研究，收集1999-2004年间因腰椎间盘突出症第一次入院手术的患者100例，调查记录其术前、术中、院内术后、随访时刻的观察项目，按疗效分组，运用logistic回顾筛选风险因子。【结果】大部分椎间盘组织摘除、随访时刻的JOA评分为良好疗效的保护因素。【结论】①术中腰椎间盘组织的摘除范围将影响术后中长期疗效，大部分椎间盘组织摘除是良好疗效最强的保护因素。②当随访时点JOA评分≥25分时，可提示患者术后疗效良好。

Analysis on the Correlative Factors Affecting the Mid-and Long-term Clinical Efficacy of Surgical Management of Lumbar Disc Herniation

Objective] To explore the correlative factors affecting the mid and long-term clinical efficacy of surgical management of lumbar disc herniation. Methods]All 100 cases of lumbar disc herniation collected from 1999 to 2004 were studied retrospectively. The observation items before, during, after operation and the follow up were recorded. Groups were divided by the therapeutic effect. And risk factors were screened by means of logistic method. Resuhs]The aggressive lumbar diseectomy and postoperative JOA score were the protective factors of good clinical outcome. Conclusion]The aggressive discectomy is the most powerful factor affecting the better long-term outcome. The postoperative JOA score ≥25 in the follow up predict good clinical outcome.