结局量表的选择是否会影响腰椎间盘手术的预后因素？一项对121例患者的前瞻性连续研究。
Does the choice of outcome scale influence prognostic factors for lumbar disc surgery? A prospective, consecutive study of 121 patients.
作者信息
Woertgen C, Holzschuh M, Rothoerl R D, Brawanski A
机构信息
Neurosurgical Clinic, University of Regensburg, Germany.
出版信息
Eur Spine J. 1997;6(3):173-80. doi: 10.1007/BF01301432.
Abstract
From January to June 1994, we operated conventionally on 121 consecutive hemiated lumbar disc patients as part of a prospective study. We analysed general data, case histories, neurological findings on admission and all data from imaging investigations and therapy. In addition, all patients received a questionnaire based on the Low Back Outcome Score. Most of the patients (93%) were followed-up for 1 year postoperatively in the same manner. On the Prolo Scale, we obtained a good result in 70%; 76% had a good Low Back Outcome Score. Predictive factors are different for different outcome scales. The preoperative duration of pain, the preoperative duration of paresis and smoking seem to be general predictive factors.
摘要
1994年1月至6月，作为一项前瞻性研究的一部分，我们对121例连续的腰椎间盘突出症患者进行了常规手术。我们分析了一般数据、病史、入院时的神经学检查结果以及来自影像学检查和治疗的所有数据。此外，所有患者都接受了基于腰椎结果评分的问卷调查。大多数患者（93%）在术后以同样的方式接受了1年的随访。在普罗洛量表上，我们获得了70%的良好结果；76%的患者腰椎结果评分良好。不同结果量表的预测因素不同。术前疼痛持续时间、术前麻痹持续时间和吸烟似乎是一般的预测因素。
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