[腰骶神经根综合征手术后中长期患者虽有持续症状但满意度较高]
[High level of satisfaction among patients despite persistent symptoms in the mid-long-term following surgery for lumbosacral radicular syndrome].
作者信息
Luijsterburg P A J, Schreuder H K, Verhagen A P, Avezaat C J J, Koes B W
机构信息
Afd. Huisartsgeneeskunde, Erasmus MC, Postbus 1738, 3000 DR Rotterdam.
出版信息
Ned Tijdschr Geneeskd. 2005 Jul 2;149(27):1516-20.
OBJECTIVE
To determine the mid-long-term outcomes after surgery in patients with lumbosacral radicular syndrome (LRS) and to identify prognostic factors for persisting LRS symptoms.
DESIGN
Descriptive retrospective and prospective.
METHOD
A total of 250 consecutive patients operated on by 7 neurosurgeons in four hospitals between May and December 2001 were selected from medical records. They were asked to take part in a telephone questionnaire at 6 and 19 months after operation. They had all undergone discectomy for LRS at L4-L5 or L5-S1 and were aged from 18 to 65.
RESULTS
Of the 250 patients, 163 participated in the study: 63% reported that they still had LRS-related symptoms 19 months after surgery. However, severe leg pain had decreased in 83% of the patients. In general the patients were satisfied with their treatment. Female gender and an age of 51-65 were prognostic factors for persistent LRS symptoms.
CONCLUSION
More than half of the patients reported LRS symptoms 19 months after surgery.
目的
确定腰骶神经根综合征（LRS）患者手术后的中长期结局，并识别LRS症状持续存在的预后因素。
设计
描述性回顾性和前瞻性研究。
方法
从四家医院的病历中选取2001年5月至12月间由7位神经外科医生连续手术治疗的250例患者。要求他们在术后6个月和19个月时参与电话问卷调查。他们均因LRS在L4-L5或L5-S1节段接受了椎间盘切除术，年龄在18至65岁之间。
结果
250例患者中，163例参与了研究：63%的患者报告称术后19个月仍有与LRS相关的症状。然而，83%的患者严重腿痛有所减轻。总体而言，患者对治疗感到满意。女性以及年龄在51-65岁是LRS症状持续存在的预后因素。
结论
超过半数的患者在术后19个月报告仍有LRS症状。
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