复发性腰椎间盘突出的危险因素:一项单中心研究和文献回顾。

Q Medicine
Shinji Miwa, Akio Yokogawa, Tadayoshi Kobayashi, Tatsuya Nishimura, Kentaro Igarashi, Hiroyuki Inatani, Hiroyuki Tsuchiya
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引用次数: 64

摘要

背景:腰椎间盘突出症的复发是腰椎间盘突出症治疗中的一个主要问题。本研究的目的是探讨LDH复发的危险因素。方法:2005年4月至2008年3月,298例接受手术治疗的LDH患者被纳入本研究。将患者分为非复发组(N组)和复发组(R组)。我们比较了他们的临床参数,包括年龄、性别、体重指数、吸烟、饮酒、体育活动、职业举重和职业驾驶。采用单因素分析和多元logistic回归分析评价各变量与LDH复发的关系。结果:N组266例(89.3%),R组32例(10.7%)。结论:我们的研究表明,戒烟和抑制戒烟可以显著降低LDH复发的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk factors of recurrent lumbar disk herniation: a single center study and review of the literature.

Background: The recurrence of lumbar disk herniation (LDH) is a major problem in the treatment of LDH. The purpose of this study was to investigate the risk factors for recurrent LDH.

Methods: Between April 2005 and March 2008, 298 patients with LDH, who underwent surgical treatment, were enrolled in this study. The patients were divided into a nonrecurrent group (N group) and a recurrent group (R group). We compared their clinical parameters including age, sex, body mass index, smoking, alcohol, sports activity, occupational lifting, and occupational driving. The relationships between the variables and recurrent LDH were evaluated by univariate analysis and multiple logistic regression analysis.

Results: The N group had 266 patients (89.3%) and the R group had 32 patients (10.7%). Univariate analysis showed that current smoking (P<0.001) and occupational lifting (P=0.02) significantly correlated with recurrent LDH. Multivariate analysis showed that current smoking significantly related with recurrent LDH (OR, 3.47; 95% CI, 1.55-7.80; P=0.003).

Conclusions: Our study suggests that smoking cessation and restraining from lifting may significantly decrease the incidence of recurrent LDH.

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来源期刊
CiteScore
2.16
自引率
0.00%
发文量
0
审稿时长
3 months
期刊介绍: Journal of Spinal Disorders & Techniques features peer-reviewed original articles on diagnosis, management, and surgery for spinal problems. Topics include degenerative disorders, spinal trauma, diagnostic anesthetic blocks, metastatic tumor spinal replacements, management of pain syndromes, and the use of imaging techniques in evaluating lumbar spine disorder. The journal also presents thoroughly documented case reports.
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