腰椎椎微外科软盘切除术:效率、疼痛综合征、肥胖症

Q3 Medicine Hirurgia Pozvonochnika Pub Date : 2018-03-30 DOI:10.14531/ss2018.1.42-48
Марк Микаелович Алексанян, Алексей Леонидович Хейло, К П Микаелян, Эдуард Гемджян Gemdzhian, Александр Георгиевич Аганесов
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引用次数: 5

摘要

目标。目的:分析体重过重患者椎间盘突出症显微外科切除的疗效及特点。材料和方法。对104例24 ~ 58岁腰椎椎间盘突出伴神经结构受压及神经根性疼痛综合征患者进行手术治疗,其中男37例,女67例。研究组包括48例在腰椎水平行微椎间盘切除术的肥胖患者。对照组56例非肥胖患者采用相同方法。采用VAS和Oswestry功能活动问卷评估疼痛综合征水平。结果。肥胖患者术前疼痛强度略高于正常体重患者。微椎间盘切除术后6周,神经根性疼痛综合征得到缓解。显微椎间盘切除术的临床效果持续6个月和12个月。在随访期结束时,一些体重过重的患者有背部和下肢疼痛的倾向。此外,肥胖患者术中出血量、浅表感染并发症发生率、手术时间和住院时间略高于肥胖患者。结论。在计划腰椎麻醉和显微手术椎间盘切除术时应考虑超重因素。
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Микрохирургическая дискэктомия в поясничном отделе позвоночника: эффективность, болевой синдром, фактор ожирения
Objective. To analyze the effectiveness and features of microsurgical discectomy of herniated intervertebral discs in patients with excessive body weight. Material and Methods . A total of 104 patients (37 men and 67 women) aged 24–58 years with intervertebral disc hernias in the lumbar spine accompanied by compression of neural structures and radicular pain syndrome were operated on. The study group consisted of 48 obese patients who underwent microdiscectomy at the lumbar level. The control group included 56 non-obese patients operated in the same way. The level of the pain syndrome was assessed using the VAS and Oswestry’s functional activity questionnaire. Results. Preoperative pain intensity was slightly higher in patients with obesity than in those with normal body weight. Six weeks after the microdiscectomy, the radicular pain syndrome was arrested. The clinical effect of microdiscectomy persisted after 6 and 12 months. By the end of the follow-up period, some patients with excessive body weight had a tendency to have pain in the back and lower extremities. Also, patients with obesity had slightly greater intraoperative blood loss, the incidence of superficial infectious complications, the duration of the operation, and the length of hospital stay. Conclusion. The overweight factor should be considered when planning anesthesia and microsurgical discectomy in the lumbar spine.
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来源期刊
Hirurgia Pozvonochnika
Hirurgia Pozvonochnika Medicine-Anesthesiology and Pain Medicine
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
7 weeks
期刊最新文献
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