椎间盘源性腰痛为临床常见疾病,发病率不断增加,在临床中也可以称作为椎间盘紊乱,是来源于人体椎间盘的疼痛,治疗椎间盘源性腰痛的方式很多,非手术治疗包括多种,例如卧床休息、中医针灸、中医熏洗、理疗、西药治疗等等,采用上述方式能将患者粘连阻力减轻,拉开椎间隙,对患者椎间盘周围血供进行改善,但是在实施治疗过程中,部分患者存在持续性根性疼痛或者反复性根性疼痛,在采取直腿抬高试验过程中,患者弯腰十分困难,且经治疗后,多数患者的神经症状加重,故此需要选择其他更为安全有效的治疗方法。而经皮微创手术在临床广泛应用,具有摘除、减压、成形、消融、化学、物理等多项方式,而不同的方式具有不同的效果。
Discogenic low back pain is a common clinical disease with an increasing incidence. It can also be called disc disorder in clinical practice. It is pain derived from human intervertebral discs. There are many ways to treat discogenic low back pain. Non-surgical treatments include bed rest, traditional Chinese medicine acupuncture, traditional Chinese medicine fumigation, physical therapy, and western medicine treatment, and can reduce the adhesion resistance, open the intervertebral space, and improve the blood supply around theintervertebral disc of the patients. Some patients have persistent radicular pain or repeated radicular pain. During the straight leg raising test, it is very difficult for patients to bend over, and after treatment, the neurological symptoms of most patients are aggravated, so it is necessary to choose other safer and more effective treatment method. Percutaneous minimally invasive surgery is widely used in clinical practice, with multiple methods such as excision, decompression, shaping, ablation, chemistry, and physics, and different methods have different effects.
[1] 赵庆豪,程亮,朱炜嘉等.脊柱内镜下窦椎神经毁损术治疗椎间盘源性腰痛的疗效[J].中华骨科杂志,2020,40(15):996-1003.
[2] 韩康,高浩然,卞娜等.经皮椎间孔镜与单纯椎板开窗术治疗腰椎间盘突出症临床疗效比较[J].中华全科医学,2018,13(6):868-871.
[3] 刘宝平,孙义忠,王峰宝等.椎间孔镜与开窗治疗椎间盘突出症术后影像学分析[J].中国骨与关节损伤杂志,2018,27(9):826-827.
[4] 张屹,朱发军,胡东等.经皮椎间孔镜与椎板开窗术应用于腰椎间盘突出症的效果比较研究[J].临床研究,2019,24(12):68.
[5] 吴佳源,田伟.腰椎人工椎间盘置换术的研究进展[J].中国脊柱脊髓杂志,2019,29(3):268-274.
[6] 汪小健,李少广,王彭禾,等.MRI腰椎间盘高信号区及其在椎间盘源性腰痛诊治中应用的研究进展[J].中医正骨,2020,32(5):37-40.
[7] Victor V, Schouten J W, Andreas G, et al.Letter: Medical Management With Interventional Therapy Versus Medical Management Alone for Unruptured Brain Arteriovenous Malformations(ARUBA): Final Follow-up of a Multicentre,Nonblinded,Randomised Controlled Trial[J]. Neurosurgery,2020,45(6):6-7.
[8] 高崇崇,李非.胆源性胰腺炎胆系结石处理时机与方式的研究进展[J].中华普通外科杂志,2021,36(9):726-728.
[9] 庞广兴,刘先银,黎松波,等.基于椎间盘造影纤维环破口"靶点"导向椎间孔镜手术治疗椎间盘源性腰痛12例[J].广东医科大学学报,2020,38(1):108-111.
[10] Ywz A, Chao L A, Mpy A, et al.Sequential interventional therapy for Budd-Chiari syndrome associated with fresh inferior vena cava thrombosis[J]. Journal of Vascular Surgery:Venous and Lymphatic Disorders, 2020,8(6):945-952.
[11] 王超兰. 腰椎术后骶髂关节源性下腰痛发病机制及临床治疗[J].外科研究与新技术,2018,7(1):61-64.
[12] 王锴波. 独活寄生汤治疗椎间盘源性腰痛临床观察[J].光明中医,2019,34(9):1379-1381.
[13] 仇杰,仇湘中,蒋盛昶,等.补肝通络法内外并治腰椎间盘源性腰痛60例临床观察[J].湖南中医杂志,2019,35(2):3-6.
[14] 王明宇,查旭东,徐海栋.盘源性腰痛炎性相关介质的研究进展[J].临床与病理杂志,2019,39(1):175-181.
[15] 刘金勇、蔡树河、王和鸣、林坚、陈秀明、方月龙、连晓文.南少林手法联合腰腹肌锻炼治疗椎间盘源性腰痛[J].深圳中西医结合杂志,2020,30(21):47-49.
[16] Michalik A J, Patel R K.Evaluation of transforaminal epidural steroid injections for discogenic axial lumbosacral back pain utilizing PROMIS as an outcome measure[J]. The Spine Journal, 2020,21(2):78-79.
