Albert T J, Mesa J J, Eng K, McIntosh T C, Balderston R A
Rothman Institute, Philadelphia, Pennsylvania, USA.
Spine (Phila Pa 1976). 1996 Apr 15;21(8):960-2; discussion 963. doi: 10.1097/00007632-199604150-00010.
Forty-one patients undergoing lumbar laminectomy for radiculopathy resulting from herniated discs assessed their health status using a generic health outcome instrument (Medical Outcomes Study Short Form 36) before surgery and at an average of 2 years after surgery.
To assess whether lumbar laminectomy for herniated nucleus pulposus is a useful intervention when patients evaluate their own perception of health.
The medical Outcomes Study Short Form 36 has been used in multiple studies assessing various medical conditions. It is brief, generic, and reliable. Although surgical treatment for radiculopathy by lumbar laminectomy has been shown to be successful using specific criteria for patient selection and an algorithmic approach, the authors are not aware of any study using a patient-based health outcome assessment to evaluate the results of this type of surgery.
Forty-one patients (82% completed follow-up evaluation; average follow-up period, 2.08 years) completed Medical Outcomes Study Short Form 36 before and after surgery. Scores from before and after surgery were compared.
Statistically significant improvements (P < 0.01) were seen in eight of the nine health scores comparing scores from before and after surgery at follow-up evaluation. These included physical function, social function, role function resulting from physical limitations, role function resulting from emotional limitations, mental health, vitality, pain, and perceived health change. No significant change was seen in the patients' health perception after surgery.
This study shows that the patients' self-reported health outcomes after lumbar laminectomy correlate with the excellent results previously seen using physician-driven outcome measures in an appropriately selected population with radiculopathy. The excellent results shown here did not deteriorate with age (> 40 years compared with < 40 years) or with complications after surgery.
41例因椎间盘突出症导致神经根病而接受腰椎椎板切除术的患者，在手术前及术后平均2年时，使用通用健康结局工具（医学结局研究简明健康调查问卷36项简表）评估其健康状况。
当患者评估自身健康感知时，评估腰椎间盘突出症行腰椎椎板切除术是否为一种有效的干预措施。
医学结局研究简明健康调查问卷36项简表已用于多项评估各种医疗状况的研究中。它简短、通用且可靠。尽管腰椎椎板切除术治疗神经根病已通过特定的患者选择标准和算法方法被证明是成功的，但作者未发现有任何研究使用基于患者的健康结局评估来评价这类手术的结果。
41例患者（82%完成随访评估；平均随访期2.08年）在手术前后完成医学结局研究简明健康调查问卷36项简表。比较手术前后的得分。
在随访评估中，比较手术前后得分时，九个健康评分中的八个有统计学意义的改善（P<0.01）。这些包括身体功能、社会功能、身体限制导致的角色功能、情感限制导致的角色功能、心理健康、活力、疼痛和健康感知变化。术后患者的健康感知无显著变化。
本研究表明，腰椎椎板切除术后患者自我报告的健康结局与先前在适当选择的神经根病患者群体中使用医生主导的结局测量方法所观察到的良好结果相关。此处显示的良好结果不会因年龄（>40岁与<40岁相比）或术后并发症而恶化。
