摘要
目的探讨体重指数(BMI)对腰椎退行性疾病行MIS-TLIF手术疗效及术后翻修率的影响。方法选取2013-04-2016-04我院行MIS-TLIF手术的180例腰椎退行性疾病患者,依据BMI指数进行分组:BMI<25 kg/m^2者纳入正常组,25 kg/m^2<BMI<29.9 kg/m^2纳入超重组,30 kg/m^2<BMI<34.9 kg/m^2纳入轻度肥胖组,BMI≥35 kg/m^2纳入中重度肥胖组。对所有患者进行为期2年的随访,比较其手术疗效和术后翻修情况。结果 (1)手术时间比较,正常组<超重组<轻度肥胖组<中重度肥胖组,差异有统计学意义(P<0.05);(2)各组住院时间、并发症情况,随访期间的VAS评分、ODI指数等指标比较,差异均无统计学意义(P>0.05);(3)正常组、超重组、轻度肥胖组和中重度肥胖组2年内的翻修率分别为8.2%、6.5%、6.8%和8.6%,组间差异无统计学意义(P>0.05)。(4)相关性分析显示BMI与改良Charlson合并症评分、手术时间呈正相关关系(P<0.05),而与翻修率之间无明显相关性(P>0.05)。结论 BMI指数较高者行MIS-TLIF手术时间较长,但在术后翻修率上无需比BMI正常者承受更高的风险。
Objective To investigate the effect of body mass index （BMI） on the surgicaloutcome and postoperative revision rate in the treatment of lumbar degenerative diseases with MISS-TLIF. Methods 180 patients with lumbar degenerative diseases who underwent MIS-TLIF operationin our hospital from April 2013 to April 2016 were divided into normal group, BMI〈25 kg/m2wasincluded in normal group, 25 kg/m2〈BMI〈29.9 kg/m2in overweight group, 30 kg/m2〈BMI〈34.9 kg/m2in mild obesity group, BMI〈35 kg/m2in moderate and severe obesity group.. Fat group. All patientswere followed up for 2 years to compare their surgical outcomes and postoperative revision. Results（1） There were significant differences in operation time between normal group〈overweight〈mild obesitygroup 〈moderate and severe obesity group （P 〈0.05）; （2） There were no significant differences inhospitalization time, complications, VAS score and ODI index during follow-up （P〉0.05）. Overweight,mild obesity and moderate to severe obesity had a 2-year revision rate of 8.2%, 6.5%, 6.8% and8.6% , respectively. There was no significant difference between the two groups （P 〉0.05）. （4）Correlation analysis showed that BMI was positively correlated with modified Charlson syndrome scoreand operation time （P〈0.05）, but not with revision rate （P〉0.05）. Conclusions Patients with higherBMI index had longer MIS-TLIF operation time, but no higher risk of revision than those with normalBMI.
作者
沙建军
吴海辉
SHA Jian-jun;WU Hai-hui(Department of Orthopaedics,Qingpu Branch,Zhongshan Hospital Affiliated to Fudan University,Shanghai,201700,China.)
出处
《颈腰痛杂志》
2018年第6期724-727,共4页
The Journal of Cervicodynia and Lumbodynia
