Spontan Regresyon Gösteren Disk Hernileri

Veli Çitişli
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Abstract

Aim: Vertebral disc hernias are a common clinical condition. There are reported cases of recovery without surgery. However, no collective study has yet been conducted to reveal spontaneously regressing disc hernias statistically significant. Our aim is to determine the cases of spontaneous regression disc herniation and to reveal statistically significant and to reveal the chance of spontaneous regression without surgery. Methods: For this purpose, a retrospective cohort was made from the files of 2700 patients who came to our clinic for 4.5 years. Surgical indication was decided 341 patients. 323 patients were operated. Physical and drug therapy, rest were recommended to 18 patients. These 18 patients who did not receive surgical treatment, it was determined that the disc hernias had spontaneous regression. Incidence, relative risk (RR), attributable risk (AR), and rate of protection were calculated. Comparison of the means in the SPSS and Chi-square test. Results: The most spontaneously regressed disc herniation was determined as L5S1 level. In those treated surgically, surgical intervention as a positive factor was found to provide complete recovery in 94% of patients. Surgery indication was found that 94.42% of those who had surgery were indicated and those who did not undergo surgery and went to spontaneous regression were 5.57%. Spontaneous regression of disc hernias without surgery was found to be statistically significant (p
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目的:椎间盘突出是一种常见的临床疾病。有报道称,没有手术也能恢复。然而,目前还没有集体研究表明自发性退变椎间盘突出具有统计学意义。我们的目的是确定自发性退行性椎间盘突出的病例,并揭示统计上的显著性,揭示不手术的自发性退行性椎间盘突出的机会。方法:为此目的,对来我诊所就诊4.5年的2700例患者进行回顾性队列分析。确定手术指征341例。手术323例。18例经物理、药物治疗,建议休息。这18例未接受手术治疗的患者,确定椎间盘疝为自发性消退。计算发病率、相对危险度(RR)、归因危险度(AR)和保护率。SPSS和卡方检验的均数比较。结果:椎间盘突出以L5S1水平自行消退最多。在手术治疗的患者中,手术干预作为一个积极因素被发现在94%的患者中提供完全恢复。手术指征率为94.42%,未手术自行消退者为5.57%。无手术的椎间盘疝自发消退有统计学意义(p
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