FACTORS PREDICTING THE RESULT OF SURGERY FOR LUMBAR INTERVERTEBRAL-DISK HERNIATION
FACTORS PREDICTING THE RESULT OF SURGERY FOR LUMBAR INTERVERTEBRAL-DISK HERNIATION
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DOI：
10.1097/00007632-198711000-00016
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发表时间：
1987-11-01
期刊：
影响因子：
3
通讯作者：
ALARANTA, H
中科院分区：
文献类型：
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作者：
HURME, M;ALARANTA, H
本前瞻性研究旨在发现预测腰椎间盘突出症首次手术结果的术前或围手术期因素。术后1个月和6个月对结果进行评估，除患者评估外，还使用疼痛指数、日常生活活动（ADL）和工作能力进行评估。如果患者在坐骨神经痛失能2个月前手术，效果最好。手术表现分级为突出，预后较差。社会和心理因素对预后的影响大于术前体格检查的结果或手术发现的等级。建议在腰椎间盘突出症患者的术前检查中增加疼痛、ADL指标和心理测试。
The prospective study was undertaken to find out preoperative or perioperative factors predicting the results of the first surgery for lumbar disc herniation. The results were evaluated 1 and 6 months postoperatively using, in addition to the patient evaluation, indices for pain, activities of daily living (ADL), and working capacity. The best result was achieved if the patient was operated on before 2 months'' duration of disabling sciatica. The operative finding graded as protrusion predicted poor result. The social and psychological factors influenced the outcome more than the findings in the preoperative physical examination or the grade of operative finding. It is recommended to add indices for pain and ADL and a psychological test to the preoperative examinations of patients with lumbar disc herniation.