Prognostic value of MRI imaging parameters for the curative effect of percutaneous transforaminal endoscopic discectomy in patients with lum-bar disc herniation
Objective To investigate the predictive value of MRI imaging parameters on the postoperative curative effect of percutaneous transforaminal endoscopic discectomy(PTED)in patients with lumbar disc herniation(LDH),in order to guide the development of clinical treatment measures and improve the therapeutic effect of LDH patients.Methods From January 2021 to December 2022,40 LDH patients with good therapeutic effect after PTED in XinSteel Center Hospital were retro-spectively set as good group,and 40 LDH patients with poor therapeutic effect after PTED during the same period were set as adverse group.All patients'data were complete.Baseline data and MRI imaging parameters of the two groups were statis-tically analyzed and compared,focusing on the value of MRI imaging parameters in predicting the postoperative curative ef-fect of LDH patients with PTED.Results The cross-sectional area difference values of both psoas major muscle and multi-fidus muscle in the adverse group were higher than those in the good group,and the differences were statistically significant(P＜0.05).Receiver operating characteristic(ROC)curve showed that the area under the curve(AUC)of the cross-sectional area difference values of the psoas major muscle and the multifidus muscle measured by MRI of both sides of LDH patients after PTED in predicting the postoperative curative effect were greater than 0.80,with ideal prediction value,and the com-bined prediction value was the best.The combined prediction AUC was 0.891,sensitivity was 0.800,and the specificity was 0.850.Conclusion The cross-sectional area difference values of the psoas major muscle and the multifidus muscle in LDH patients were overexpressed in MRI imaging parameters before PTED,which may indicate poor postoperative efficacy.
Lumbar disc herniationPercutaneous trans-foraminal endoscopicMRICurative effectPredictive value
万方数据
维普
