Multifactorial analysis of factors affecting the efficacy of annular suture in lumbar intervertebral disc
影响腰椎间盘纤维环缝合疗效的多因素分析

摘要

目的 本研究旨在深入分析腰椎间盘纤维环缝合疗效的影响因素，以期为临床治疗提供科学依据和指导。方法 1. 数据收集：收集患者的年龄、性别、术前神经功能评分（如ASIA评分）、术后康复训练情况等数据。2. 手术方法：所有患者均采用腰椎间盘纤维环缝合术进行治疗，术中记录手术时间、出血量等指标。3. 疗效评估：术后6个月通过电话或门诊复查的方式对患者进行随访，采用VAS疼痛评分法评估患者疼痛程度，采用MRI检查评估腰椎间盘的恢复情况。结果 手术时间平均(90.5±21.3)分钟，出血量平均(120.3±34.7)ml。术后6个月VAS疼痛评分平均下降至(2.1±1.3)分，MRI显示腰椎间盘退变程度有所改善。通过多元线性回归分析发现，年龄、性别、术前神经功能、术后康复训练是影响腰椎间盘纤维环缝合疗效的主要因素。结论 本研究通过对腰椎间盘纤维环缝合疗效的多因素分析，发现年龄、性别、术前神经功能、术后康复训练是影响疗效的主要因素。

Abstract

Objective This study aims to thoroughly analyze the factors influencing the efficacy of annular suture in lumbar intervertebral disc to provide a scientific basis and guidance for clinical treatment.
Methods 1. Data Collection: Data on patient age, gender, preoperative neurologic function scores (such as ASIA scores), and postoperative rehabilitation status were collected. 2. Surgical Method: All patients were treated with annular suture surgery for lumbar intervertebral disc, and intraoperative indicators such as surgery time and blood loss were recorded. 3. Efficacy Assessment: Follow-up with patients was conducted through telephone or outpatient review six months postoperatively, using the VAS pain score to assess patient pain levels and MRI to evaluate the recovery of the lumbar intervertebral disc.
Results The average surgery time was (90.5±21.3) minutes, and the average blood loss was (120.3±34.7) ml. The average VAS pain score decreased to (2.1±1.3) points six months postoperatively, and MRI showed some improvement in the degree of lumbar intervertebral disc degeneration. Multivariate linear regression analysis revealed that age, gender, preoperative neurologic function, and postoperative rehabilitation training are the main factors affecting the efficacy of annular suture in lumbar intervertebral disc.
Conclusion   This study, through a multifactorial analysis of the efficacy of annular suture in lumbar intervertebral disc, found that age, gender, preoperative neurologic function, and postoperative rehabilitation training are the main factors influencing the efficacy.