A prospective 5-year follow-up study of 276 patients hospitalized because of suspected lumbar disc herniation.

F Nykvist, M Hurme, H Alaranta, S Einola
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引用次数: 26

Abstract

The study consists of 276 patients who were hospitalized between 1980 and 1982 because of suspected lumbar disc herniation. Treatment choice was based on clinical indications only; no randomization was used. A total of 179 patients were treated surgically and 97 had continued conservative treatment. Both groups were followed-up 1 and 5 years later. Five-year follow-up results showed that 68% of operated patients still had pain in sciatic distribution and 21% were retired. Re-operation frequency was 13.8%. Of non-operated patients, 82% still had sciatica and 26% were retired. Reasons for outcome differences between the study groups are discussed.

276例疑似腰椎间盘突出症住院患者的5年前瞻性随访研究。
该研究包括276名在1980年至1982年间因疑似腰椎间盘突出而住院的患者。治疗选择仅基于临床适应症;未采用随机分组。179例患者接受手术治疗,97例继续保守治疗。两组分别在1年和5年后进行随访。5年随访结果显示,68%的手术患者仍有坐骨分布疼痛,21%的患者退休。再手术率为13.8%。在未手术的患者中,82%仍有坐骨神经痛,26%已退休。讨论了研究组之间结果差异的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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