谭东;高大柱;方策;段文;

• 1:中国科学技术大学附属第一医院安徽省立医院西区骨科

摘要(Abstract)：

目的分析腰椎管狭窄症(lumbar spinal stenosis,LSS)患者减压术后1年功能恢复的影响因素。方法回顾性分析2015年12月至2017年12月本院收治的120例行减压术治疗的LSS患者的临床资料,采用日本矫形外科协会(Japanese Orthopedic Association,JOA)评分系统评估患者术后1年功能恢复情况,将功能恢复良和好的患者纳入恢复良好组,功能恢复中和差的患者纳入恢复不良组。采用单因素和多因素Logistic回归分析探讨影响LSS患者减压术后1年功能恢复的相关危险因素。结果 LSS患者减压术后1年功能恢复良好率为81.67%(98/120)。恢复不良组中年龄≥60岁、合并骨质疏松症、有腰椎合并症、术前抑郁自评量表(self-rating depression scale,SDS)评分> 70分、未接受内固定、术后未接受规范化康复指导患者构成比均显著高于恢复良好组(均P <0.05)。多因素Logistic回归分析显示:年龄≥60岁、合并骨质疏松症、有腰椎合并症、术前SDS评分> 70分、未接受内固定、术后未接受规范化康复指导均是导致LSS患者减压术后1年功能恢复不良的独立危险因素(OR=3.438、2.570、4.433、3.677、2.056、2.472,均P <0.05)。结论导致LSS患者减压术后功能恢复不良的危险因素较多,临床应给予充分重视并积极采取针对性措施,以进一步改善患者术后功能恢复情况。

关键词(KeyWords)： 腰椎管狭窄症;减压术;功能恢复;影响因素;Logistic回归分析

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 谭东;高大柱;方策;段文;

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