腰椎减压术治疗腰膝综合症的疗效
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北京中医药大学第三附属医院

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Efficacy of lumbar decompression in the treatment of lumbar-knee syndrome
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Beijing University of Chinese Medicine Third Affiliated Hospital

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    摘要:

    [目的]探讨腰椎减压手术治疗腰膝综合征的临床疗效和安全性。[方法]回顾性分析2021年10月至2023年1月收治的腰膝综合征患者35例。分别于术前、术后1周、1月、3月时,收集并观察下肢放射痛及膝关节周围疼痛视觉模拟评分法(VAS)评分,腰椎日本骨科协会评估治疗分数(JOA)评分、西安大略和麦克马斯特大学(WOMAC)骨关节炎指数评分、膝关节Lysholm评分,测量术前及术后3月的椎管面积,观察期间不良反应情况。[结果]全部35例患者均得到随访,随访时间为3-11个月,平均随访时间为(5.200±1.587)个月。术后下肢放射痛VAS评分[(6.2±1.0),(2.4±0.7),(1.1±0.7),(0.5±0.7),P<0.05]、膝关节周围疼痛VAS评分[(5.1±1.1),(2.1±1.1),(1.2±0.7),(0.9±0.9), P<0.05]、JOA评分[(9.2±2.1),(21.3±1.8),(23.5±1.7),(24.6±1.9),P<0.05]、WOMAC评分[(51.1±9.5),(31.5±6.6),(16.9±4.0),(10.3±3.7),P<0.05]、Lysholm评分[(55.8±9.8),(72.3±7.3),(77.9±6.2),(85.3±3.9),P<0.05]、椎管面积[(151.9±37.2),(180.3±34.9),P<0.05]均较术前改善,差异具有统计学意义。[结论]35例腰膝综合征患者中,多数为中老年女性,发病节段集中于L3/4,行腰椎减压手术治疗后,患者下肢放射痛、膝关节周围疼痛明显减轻,腰椎及膝关节功能、椎管面积显著改善。

    Abstract:

    [Objective] To investigate the clinical efficacy and safety of lumbar decompression in the treatment of lumbar-knee syndrome. [Methods] Thirty-five patients with lumbar-knee syndrome admitted from October 2021 to January 2023 were retrospectively analyzed. The visual analogue scale (VAS) score of lower limb radiation pain and pain around the knee joint, Japanese Orthopaedic Association (JOA) score of lumbar spine, Western Ontario and McMaster University (WOMAC) osteoarthritis index score, and Lysholm score of knee joint were collected and observed before operation and at 1 week, 1 month, and 3 months after operation. The area of spinal canal was measured before operation and 3 months after operation. [Results] All 35 patients were followed up for 3-11 months, with an average follow-up time of (5.200±1.587) months.The postoperative VAS scores of radiating pain in lower limbs[(6.2±1.0),(2.4±0.7),(1.1±0.7),(0.5±0.7),P<0.05], VAS scores of pain around the knee joint[(5.1±1.1),(2.1±1.1),(1.2±0.7),(0.9±0.9), P<0.05], JOA scores[(9.2±2.1),(21.3±1.8),(23.5±1.7),(24.6±1.9),P<0.05], WOMAC scores[(51.1±9.5),(31.5±6.6),(16.9±4.0),(10.3±3.7),P<0.05], and Lysholm scores[(55.8±9.8),(72.3±7.3),(77.9±6.2),(85.3±3.9),P<0.05] and the area of spinal canal [(151.9±37.2),(180.3±34.9),P<0.05] were significantly improved when compared with preoperative scores (P<0.05). [Conclusion] Most of the 35 patients with lumboknee syndrome are mainly middle-aged and elderly women, and the onset segment is concentrated in L3/4. After lumbar decompression surgery, the radiating pain of lower limbs and pain around the knee joint are significantly relieved, and Lumbar and knee joint function and spinal canal area were significantly improved.

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  • 收稿日期:2023-08-17
  • 最后修改日期:2023-10-25
  • 录用日期:2024-01-05
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