首页|术前白介素-6/白介素-10表达对腰椎间盘突出症术后椎间隙感染的预测

术前白介素-6/白介素-10表达对腰椎间盘突出症术后椎间隙感染的预测

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目的 探讨术前白细胞介素-6/白介素-10表达对腰椎间盘突出症术后椎间隙感染的预测价值.方法 采用病例对照研究,收集医院2021年1月至2023年1月收治的24例腰椎间盘突出症术后发生椎间隙感染患者的临床资料,纳入发生组,另收集医院同期48例未发生术后椎间隙感染的腰椎间盘症患者临床资料,纳入未发生组.通过查阅腰椎间盘突出症患者病历资料记录基线资料,同时收集所有患者术前白介素-6、白介素-10值,并计算白介素-6/白介素-10值.通过受试者工作曲线(ROC),探讨术前白细胞介素-6/白介素-10表达对腰椎间盘突出症术后椎间隙感染的预测价值.结果 发生组住院时间、术前白细胞介素-6、术前白细胞介素-10、术前及术后白细胞介素-6/白细胞介素-10水平大于未发生组,差异有统计学意义(P<0.05).经点二列相关性结果显示,术前白介素-6、术前白介素-10、术前白介素-6/白介素-10与腰椎间盘突出症术后椎间隙感染发生呈正相关(r>0,P<0.05).绘制ROC曲线,结果显示,术前白介素-6/白介素-10预测腰椎间盘突出症术后椎间隙感染发生的曲线下面积(AUC)为0.723,具有一定预测效能.结论 术前白细胞介素-6/白介素-10表达对腰椎间盘突出症术后椎间隙感染发生具有较好预测效能,其值越高术后椎间隙感染发生可能性越大.
Prediction of postoperative intervertebral space infection in lumbar disc herniation by preoperative expression of interleukin-6/interleukin-10
Objective To explore the predictive value of preoperative expression of interleukin-6/interleukin-10 for postoperative intervertebral space infection in lumbar disc herniation.Method A case-control study was conducted to collect clinical data of 24 pa-tients with postoperative intervertebral space infection of lumbar disc herniation admitted to the hospital from January 2021 to January 2023,and included them in the occurrence group.In addition,clinical data of 48 patients with lumbar disc herniation who did not expe-rience postoperative intervertebral space infection during the same period were collected and included in the non-occurrence group.By reviewing the medical records of patients with lumbar disc herniation,baseline data were recorded,and preoperative IL-6 and IL-10 values were collected from all patients,and IL-6/IL-10 values were calculated.Through the receiver operating curve(ROC),the predic-tive value of preoperative interleukin-6/interleukin-10 expression on intervertebral space infection after lumbar disc herniation was discussed.Result The hospitalization time,preoperative IL-6,preoperative IL-10,and preoperative and postoperative IL-6/IL-10 levels in the occurrence group were higher than those in the non-occurrence group,with statistically significant differences(P<0.05).According to the correlation results of point two,there was a positive correlation between preoperative interleukin-6,preoperative inter-leukin-10,preoperative interleukin-6/interleukin-10,and postoperative intervertebral space infection in lumbar disc herniation(r>0,P<0.05).The ROC curve was drawn,and the results showed that the area under the curve(AUC)of preoperative interleukin-6/interleu-kin-10 for predicting postoperative intervertebral space infection in lumbar disc herniation was 0.723,which had certain predictive power.Conclusion The expression of interleukin-6/interleukin-10 before surgery has a good predictive effect on the occurrence of postoperative intervertebral space infection in lumbar disc herniation,and the higher the value,the greater the possibility of postopera-tive intervertebral space infection.

Lumbar disc herniationIntervertebral space infectionInterleukin-6Interleukin-10

陈超、刘永刚、李慧峰、田冬冬、付宇挺、左立新

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安阳市人民医院骨三科,河南安阳 455000

腰椎间盘突出症 椎间隙感染 白介素-6 白介素-10

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(5)