Quah C, Syme G, Swamy G N, Nanjayan S, Fowler A, Calthorpe D
Derby Hospitals NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2014 Mar;96(2):140-3. doi: 10.1308/003588414X13814021676873.
The primary aim of this study was to investigate the relationship between obesity and recurrent intervertebral disc prolapse (IDP) following lumbar microdiscectomy.
A retrospective review of case notes from 2008 to 2012 was conducted for all patients who underwent single level lumbar microdiscectomy performed by a single surgeon. All patients were followed up at two weeks and six weeks following surgery, and given an open appointment for a further six months.
A total of 283 patients were available for analysis: 190 (67%) were in the non-obese group and 93 (32.9%) in the obese group. There was no statistical difference in postoperative infection, dural tear or length of stay between the non-obese and obese groups. Recurrent symptomatic IDP was seen in 27 patients (9.5%) confirmed by magnetic resonance imaging. Nineteen (10.0%) were in the non-obese group and eight (8.6%) in the obese group (p>0.8).
In our study, obesity was not a predictor of recurrent IDP following lumbar microdiscectomy. Our literature review confirmed that this study reports the largest series to date analysing the relationship between obesity and recurrent IDP following lumbar microdiscectomy in the British population.
本研究的主要目的是调查肥胖与腰椎间盘显微切除术后复发性椎间盘突出症（IDP）之间的关系。
对由一名外科医生进行单节段腰椎间盘显微切除术的所有患者的病历进行回顾性分析，时间跨度为2008年至2012年。所有患者在术后两周和六周进行随访，并给予六个月的复诊预约。
共有283例患者可供分析：非肥胖组190例（67%），肥胖组93例（32.9%）。非肥胖组和肥胖组在术后感染、硬脊膜撕裂或住院时间方面无统计学差异。经磁共振成像证实，27例患者（9.5%）出现复发性症状性IDP。非肥胖组19例（10.0%），肥胖组8例（8.6%）（p>0.8）。
在我们的研究中，肥胖不是腰椎间盘显微切除术后复发性IDP的预测因素。我们的文献综述证实，本研究报告了迄今为止在英国人群中分析肥胖与腰椎间盘显微切除术后复发性IDP之间关系的最大样本量。
