腰椎间盘突出症臭氧消融术后短期内复发的危险因素

发布时间：2018-01-20 06:22

本文关键词： 腰椎间盘突出症臭氧消融术复发危险因素 Logistic回归分析　出处：《介入放射学杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的探讨腰椎间盘突出症臭氧消融术后短期内复发的相关危险因素。方法将2011年1月至2015年6月臭氧消融术治疗腰椎间盘突出症6个月内复发的40例患者作为观察组,并随机选取同期术后无复发40例患者作为对照组,对可能影响复发的11项因素采用t/χ~2检验进行单因素分析,对有统计学意义的单因素进行多因素非条件Logistic回归分析。结果单因素分析显示病程、腰椎间盘退变、臭氧在盘内分布、术后过早负重等因素与腰椎间盘突出症臭氧消融术后短期内复发有关,差异有统计学意义(P0.05)。多因素非条件Logistic回归分析显示腰椎间盘突症臭氧消融术后复发与病程、腰椎间盘退变、术后过早负重有关,差异有统计学意义(P0.05)。结论患者病程大于3年、腰椎间盘退变、术后过早负重是腰椎间盘突出症臭氧消融术后短期内复发的独立危险因素。
[Abstract]:Objective to investigate the risk factors of short-term recurrence of lumbar disc herniation after ozone ablation. Methods 4 patients with lumbar disc herniation within 6 months were treated with ozone ablation from January 2011 to June 2015. 0 patients were treated as observation group. Forty patients with no recurrence were randomly selected as the control group, and the 11 factors which might affect the recurrence were analyzed by single factor analysis with t / 蠂 2 test. Results univariate analysis showed the course of disease, degeneration of lumbar intervertebral disc and distribution of ozone in disc. Postoperative early weight loading and other factors were related to short-term recurrence of lumbar disc herniation after ozone ablation. Multivariate conditional Logistic regression analysis showed that the recurrence of lumbar intervertebral disc process after ozone ablation was related to the course of disease, degeneration of lumbar intervertebral disc and early weight loading after operation. Conclusion the course of disease is more than 3 years, the degeneration of lumbar intervertebral disc and the prematurely bearing weight after operation are independent risk factors for the recurrence of lumbar disc herniation in a short period of time after ozone ablation of lumbar intervertebral disc herniation.
【作者单位】：徐州医科大学附属医院介入科;山东省鱼台县人民医院;
【分类号】：R681.53
【正文快照】： 单纯臭氧治疗腰椎间盘突出症的临床疗效肯定,并发症的发生率极低[1]。其缺点是复发率高,常需联合胶原酶治疗[2]。我科应用单纯臭氧消融术治疗腰椎间盘突出症已5年余,发现短期内(6个月)复发率较高。为此,我们回顾性分析了2011年1月至2015年6月臭氧消融术治疗腰椎间盘突出症80例

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