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首页> 外文期刊>World neurosurgery >Is a Unilateral Surgical Approach Effective in Patients with Bilateral Leg Pain with Unilateral Lumbar Disc Herniation? A Prospective Nonrandomized Clinical and Surgical Study
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Is a Unilateral Surgical Approach Effective in Patients with Bilateral Leg Pain with Unilateral Lumbar Disc Herniation? A Prospective Nonrandomized Clinical and Surgical Study

机译：单侧手术方法是否有效，双侧腿部腰椎椎间盘突出症患者有效？ 预期非沉积临床和外科研究

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摘要

ObjectiveTo examine the surgical results of unilateral lumbar discectomy in patients with bilateral leg pain and discuss short- and long-term outcomes within the limits of lumbar decompression. MethodsWe analyzed 60 patients with unilateral disc herniation who underwent unilateral lumbar discectomy and hemipartial laminectomy between 2014 and 2017. Group 1 (30 patients) had bilateral leg pain and unilateral lumbar disc herniation. Pain lateralization was determined radiologically. Group 2 (30 patients) had unilateral leg pain and unilateral lumbar disc herniation. Pain scores were preoperatively evaluated with visual analog scale (VAS) for both legs and Oswestry Disability Index (ODI) for overall life quality. In both groups, surgery was performed on the ipsilateral side of the herniated disc. Scores were repeated on postoperative day 1 and 1, 3, 6, 12, and 24 months later. VAS score differences for pain lateralization and disc levels were compared in group 1. ODI score differences were compared between both groups. Results were statistically analyzed. ResultsVAS score differences were statistically significant at all follow-up time points in patients with ipsilateral and contralateral pain. VAS score differences between L4–L5 and L5–S1 level discopathies were statistically insignificant for all time points in both groups. All postoperative ODI score decreases for all time points were statistically significant (P< 0.001) for both groups, whereas the differences between groups 1 and 2 were statistically insignificant. ConclusionsConventional lumbar disc surgery alone is sufficient for the ipsilateral side of radiologically demonstrated disc herniation in patients with bilateral leg pain.
机译：ObjectiveTo检查双侧腿部疼痛患者单侧腰椎切除术的手术结果，并在腰椎减压范围内讨论短期和长期结果。方法对象分析了60例单侧椎间盘突出症的单侧椎间盘突出术患者，在2014年和2017年之间接受单侧腰椎切除术和半侧层压切除术。第1组（30名患者）具有双侧腿部疼痛和单侧腰椎间盘突出症。放射性地确定疼痛横向化。第2组（30名患者）有单侧腿部疼痛和单侧腰椎间盘突出症。通过视觉模拟量表（VAS）对腿部和肌醇残疾指数（ODI）进行术前评价疼痛评分，用于整体寿命。在这两组中，对椎间盘突出的同侧进行手术。在术后第1天和1,3,6,12和24个月内重复评分。疼痛侧向化和盘水平的VAS分数差异在组1.两组之间比较ODI评分差异。结果在统计学分析。结果VAS得分差异在患有同侧和对侧疼痛的患者的所有后续时间点处具有统计学意义。 L4-L5和L5-S1水平透镜之间的VAS分数差异对于两个组中的所有时间点都具有统计学上微不足道的。所有时间点的所有术后ODI得分都降低了两组的统计学意义（P <0.001），而组1和2之间的差异是统计学上微不足道的。结论同性恋腰椎圆盘手术仅为双侧腿部疼痛患者放射学证明椎间盘突出的同侧侧。

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  • 来源
    《World neurosurgery》 |2018年第2018期|共7页
  • 作者

    Ihsan Dogan; Melih Bozkurt; Gokmen Kahilogullari; Fatih Yakar; Murat Zaimoglu; Batuhan Bakirarar; Cihan Kircil; Umit Eroglu; Onur Ozgural; Melih Ucer; Cemil Kilinc; Altan Demirel; Efe Guner; Hasan Caglar Ugur; Yusuf Sukru Caglar;

  • 作者单位

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

    Department of Biostatistics Ankara University School of Medicine;

    Department of Ortopedia and Traumatologia Memorial Hospital;

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

    Istanbul Health Sciences University Kanuni Sultan Suleyman Training and Research Hospital;

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

    Department of Neurosurgery Aksaray State Hospital;

    Department of Neurosurgery Ankara Koru Hospital;

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

    Department of Neurosurgery Ankara University School of Medicine Ibni Sina Hospital;

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  • 正文语种 eng
  • 中图分类 外科学各论;
  • 关键词

    Bilateral leg pain; Oswestry Disability Index; Pain score; Unilateral discectomy; Visual analog scale;

    机译：双侧腿部疼痛;oswestry残疾指数;疼痛评分;单侧椎间盘突出;视觉模拟量表;

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