摘要
目的 :分析影响腰椎间盘突症 (LDH)手术疗效的因素 ,找出LDH的手术适应证。方法 :问卷调查手术治疗的LDH患者 10 8例 ,完成随访者 6 3例 ,平均随访时间 1年 ,疗效优良者 5 0例 ,差者 13例。将患者详细的术前临床及影像学资料进行统计学分析和处理 ,与随访结果比较 ;并以多变量判别分析时各变量的赋值为基础制订评分表。结果 :疗效优良组与疗效差组患者之间 ,其症状、体征及影像学检查结果在统计学上有显著性差异 ;应用评分表对本组患者的术前临床资料进行综合评分 ,以 2 0分为临界值可使 88 9%的患者得到正确分类。结论 :通过详细的临床和影像学资料及评分表术前就能对LDH患者的手术疗效作出较准确的判断 。
Objective:To identify some factors that affect the outcome of lumbar disc herniation(LDH) treated by operation and determine the indication of the operation for LDH.Method:108 patients with operated LDH were followed up with questionnaire,63 patients were followed up successfully for an average duration of 1 year.Based on our outcome determination criteria,there were 50 patients to be exellent and good outcome and 13 poor.Comparing the results of statistic analysis for preoperative clinical data to the follow up outcome,and on the data base of multivariate discriminant analysis,a score system for LDH operation was made.Result:The difference between good and poor outcome groups was significant in symptoms,signs,result of CT and MRI.Preoperative clinical data score 20 was used as critical value and 88 9% cases could be classified correctly.Conclusion:the outcome of operated LDH can be predicted correctly preoperatively with our score system. Author′s address\ Department of Orthopedic Surgery,China Japan Friendship Hospital,Beijing,100029,China
出处
《中国脊柱脊髓杂志》
CSCD
2000年第1期18-22,共5页
Chinese Journal of Spine and Spinal Cord
