Kim Kyongsong, Kokubo Rinko, Isu Toyohiko, Morimoto Daijiro, Morita Akio
Department of Neurological Surgery, Chiba Hokuso Hospital, Nippon Medical School, Kamagari, Inzai City, Chiba, 1715, Japan.
Department of Neurosurgery, Kushiro Rosai Hospital, Hokkaido, Japan.
Acta Neurochir (Wien). 2022 Oct;164(10):2667-2671. doi: 10.1007/s00701-022-05344-1. Epub 2022 Aug 16.
Low back pain (LBP) from superior or middle cluneal nerve entrapment has been addressed surgically. We recorded patient satisfaction with this treatment.
We included 22 consecutive patients who had undergone surgery for unilateral cluneal nerve entrapment (superior: n = 17, middle: n = 5). The numerical rating scale (NRS) for LBP, the Oswestry Disability Index (ODI) score, and the EuroQOL 5-dimension, 5-level (EQ-5D-5L) scale before and 6 months after the operation were compared. Using these scores, the treatment outcome was compared with the patients' preoperative expectations.
LBP was ameliorated in all 22 patients; their NRS, ODI, and EQ-5D-5L were significantly improved after surgery. Surgical satisfaction based on the postoperative NRS scores was recorded as 8.8 ± 1.1 (range 7-10). While the postoperative was significantly better than the expected NRS, the postoperative ODI was significantly higher than expected by the patients (both: p < 0.05). There was a moderate correlation between the postoperative NRS and ODI and postoperative patient satisfaction.
Patient satisfaction with the surgical result was rated as acceptable.
因臀上皮神经或臀中皮神经卡压引起的下腰痛已通过手术治疗。我们记录了患者对这种治疗方法的满意度。
我们纳入了22例连续接受单侧臀神经卡压手术的患者（臀上皮神经：n = 17，臀中皮神经：n = 5）。比较了手术前后的下腰痛数字评分量表（NRS）、Oswestry功能障碍指数（ODI）评分以及欧洲五维度五水平健康量表（EQ-5D-5L）。使用这些评分，将治疗结果与患者术前预期进行比较。
22例患者的下腰痛均得到改善；术后他们的NRS、ODI和EQ-5D-5L均有显著改善。基于术后NRS评分的手术满意度记录为8.8±1.1（范围7 - 10）。虽然术后NRS显著优于预期，但术后ODI显著高于患者预期（均为：p < 0.05）。术后NRS和ODI与术后患者满意度之间存在中度相关性。
患者对手术结果的满意度被评为可接受。
