摘要
目的探讨围绝经期综合征(menopausal syndrome,MPS)对女性腰椎间盘突出症患者行TLIF手术后并发慢性腰痛的影响。方法自2013-03-2017-07,共纳入78例围绝经期女性LDH患者(32例为MPS患者,另46例不是MPS患者),均予以TLIF手术治疗,随访其术后并发慢性腰痛情况,并采用单因素及多因素Logistic回归分析以探讨MPS与患者TLIF术后并发慢性腰痛的相关性。结果①78例术后,有26例出现慢性腰痛,发生率为33.3%。②MPS组的术后kupperman评分显著高于非MPS组(P<0.05);MPS组术后慢性腰痛发生率为65.6%,显著高于非MPS组的10.9%,差异有统计学意义(P<0.05)。③单因素分析显示:BMI、合并MPS、术前腰痛病程、手术时间、术中出血量和术后kupperman评分等6项因素的差异存在统计学意义(P<0.05);多因素Logistic回归分析显示:术前腰痛病程、术后kupperman评分、合并MPS等3项指标,均是导致围绝经期女性LDH患者术后并发慢性腰痛的独立危险因素。结论 MPS是围绝经期女性患者行TLIF术后出现慢性腰痛的独立影响因素之一,术前应予以积极干预,以降低慢性腰痛的发生风险。
Objective To investigate the effect of perimenopausal syndrome (MPS)on chronic low back pain after TLIF in female patients with lumbar disc herniation.Methods From March 2013 to July 2017,78 perimenopausal women with LDH (32 MPS patients and 46 non-MPS patients)were enrolled in this study.All patients were treated with TLIF.The incidence of chronic low back pain after TLIF was followed up.Univariate and multivariate logistic regression analysis was used to investigate the correlation between MPS and chronic low back pain after TLIF.Results (1)All the 78 patients successfully completed TLIF operation.26 patients developed chronic low back pain after operation,the incidence was 33.3%.(2)The Kupperman score in MPS group was significantly higher than that in non-MPS group (P<0.05),and the incidence of chronic low back pain in MPS group was 65.6%,which was significantly higher than that 10.9% in non-MPS group (P<0.05).(3)Univariate analysis showed that there were significant differences in BMI,MPS,duration of low back pain before operation,operation time,intraoperative bleeding volume and Kupperman score after operation (P<0.05);Multivariate logistic regression analysis showed that the course of low back pain before operation,Kupperman score after operation,MPS and other three indicators were all contributed to the difference (P<0.05).Independent risk factors for postoperative chronic low back pain in perimenopausal women with LDH.Conclusion MPS is one of the independent influeneing factors of chronic low back pain after TLIF in perimenopausal women.Preoperative intervention should be taken to reduce the risk of chronic low back pain.
作者
古选民
乔若飞
GU Xuan-min;QIAO Ruo-fei(Neurosurgery,First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471000;Spinal Surgery, Luoyang Orthopedic Hospital,Luoyang,Henan,471000,China)
出处
《颈腰痛杂志》
2019年第1期73-76,共4页
The Journal of Cervicodynia and Lumbodynia
