【摘要】 目的:探讨影响经皮椎间孔镜治疗腰椎间盘突出症术后临床疗效的相关因素及其独立相关因素。方法:采用回顾性研究方法调查了107例接受经皮椎间孔镜治疗的腰椎间盘突出症治疗的患者,对可能影响患者术后临床疗效的11种因素进行单因素分析;将单因素分析中有统计学意义的影响因素再次进行多因素Logistic回归分析。结果:单因素分析结果显示:患者年龄、病程、临床症状和椎间盘退变程度分级与患者的临床疗效有显著相关性(P<0.05)。多因素Logistic回归分析结果显示:患者病程和临床症状因素在统计学上对患者的预后差异有统计学意义(P<0.05)。结论:影响其临床疗效的相关因素是年龄、病程、临床症状和椎间盘退变程度4个因素,其中病程和临床症状为其独立影响因素,临床症状为其主要独立影响因素。更多还原

【Abstract】 Objective:To explore the influencing factors and independent factor of curative effect in the treatment of lumbar disc herniation(LDH)with transforaminal endoscopy.Methods:107patients treated with transforaminal endoscopy were prospectively studied.Univariate analysis was performed on 11 kinds of factors that may affect the postoperative clinical efficacy.Multivariate logistic regression analysis was performed again for factors that was statistically significant in the univariate analysis.Results:Univariate analysis showed that the age,course of the disease,clinical symptoms and the degree grade of disc degeneration were significantly correlated with the clinical efficacy(P<0.05).Logistic regression analysis showed that difference of course of the disease and clinical symptoms to prognostic was statistically significant(P<0.05).Conclusion:Factors affecting the clinical efficacy were age,course of the disease,clinical symptoms and degree grade of disc degeneration.The course of the disease and clinical symptoms were independent factors and clinical symptoms was main independent factors.更多还原