作　　者： (张正平）; (章雪芳）; (李辉）; (刘团江）; (赵勤鹏）; (黄琳红）; (曹子君）; (何立民）; (郝定均）;

机构地区： 西安交通大学医学院附属红会医院骨科,陕西西安710054

出　　处： 《局解手术学杂志》 2017年第9期660-663,共4页

摘　　要： 目的分析椎管狭窄减压术后患者发生腰椎椎间盘突出的危险因素,为患者术后康复提供参考。方法选择因椎管狭窄行部分椎板双侧切除术的患者169例,将发生椎间盘突出的患者24例作为椎突组,未发生椎间盘突出的患者145例作为对照组。分析2组研究对象各种影像学检查数据。利用多元logistics回归分析和ROC曲线分析危险因素。结果脊柱伸展后滑脱是椎间盘突出的独立危险因素(1.24,95%CI[1.07~1.43];P<0.01);曲线下面积(AUC)为0.801,截断值为6.89%。结论术前椎体后滑脱可能是椎间盘突出的独立危险因素。 Objective The study aimed to identify risk factors of lumbar disc herniation in patients after decompression, and provide theoretical basis for postoperaive rehabilitation. Methods A told of 169 patients with lumbar spinal stenosis underwent bilateral partial laminectomy were included in the study,24 patients in herniation group,and 145 patients without develop postoperative acute sciatica as a control group. The radiographic variables were measured. The threshold of risk factors was evaluated by multiple logistics analysis and receiver operating characteristic curve（ROC） analysis. Results The results revealed that preoperative retrolisthesis during extension was the independent risk factor for lumbar disc herniation （ 1.24,95 % CI[ 1.07 - 1.43 ] ; P 〈 0.01 ）. The area under the curve （ AUC ） was 0.801, and the cutoff value was 6.89%. Conclusion The preoperative retrolisthesis was the risk factor of lumbar disc herniation.

关 键 词： 椎间盘突出 椎板切除术 腰椎后滑脱 椎管减压术