腰神经根减压术后感觉症状改善时间观察

Sensory function recovery of patients with predominant lumbar radiculopathy after decompression surgery

  • 摘要: 目的 评估神经根型腰椎病患者减压术后感觉症状改善的时间进程。 方法 回顾我科2014年3 - 8月60例腰椎神经根症状患者的疼痛图纸(术前、术后6周、3个月、6个月和1年分别记录1次),比较其不同感觉的恢复速度。 结果 术前52例感觉疼痛,43例感觉麻木,31例感觉异常,其中20例存在所有3种感觉症状。疼痛缓解最快,术后6周评分(67.1±11.3较术前(151.3±19.2)降低55.7%,此后疼痛仍不断改善,但与前次随访差异均无统计学意义。麻木和感觉异常在术后6周内恢复较快(评分分别较术前降低了22.2%和21.6%),术后3个月减慢,直到1年随访时达到稳定水平。 结论 疼痛为更常见的感觉模式,且较其他两种感觉改善更快。疼痛感觉在术后6周缓解较快,感觉异常、麻木恢复慢,持续1年。

     

    Abstract: Objective To evaluate the time course of sensory function recovery in patients with predominant lumbar radiculopathy after lumbar nerve root decompression surgery. Methods Pain drawing before operation, at 6 weeks, 3 months, 6 months, and 1-year after operation and the recovery rate of different sensory symptoms in 60 patients with predominant lumbar radiculopathy who received surgery in our hospital from March to August in 2014 were retrospectively reviewed and compared. Results Of the 60 patients, 52 cases had pain, 43 cases had numbness, 31 cases had paresthesia, and 20 cases had all the 3 types of sensory symptoms. Mean pain score decreased fastest at 6 weeks after operation 55.7%, (67.1±11.3) vs (151.3±19.2) with moderate improvement in 1-year follow-up, while no statistical significance was found when compared with that of previous follow-up. The numbness and paresthesia scores showed faster recovery during the initial 6-week (22.2%, 21.6%), and then kept a slow speed of recovery until 1-year follow-up. Conclusion In lumbar radiculopathy patients after decompression surgery of our study, pain recovers the fastest in the first 6 weeks after operation, followed by paresthesia and numbness recovers at a slow speed lasting for 1 year.

     

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