腰椎间盘突出症治疗方式的研究进展
Research Progress on the Treatment of Lumbar Disc Herniation
DOI: 10.12677/ACM.2023.134767, PDF,   
作者: 陈子超, 黎斐文:吉首大学医学院,湖南 湘西;湘西土家族苗族自治州人民医院,湖南 湘西;吴仕筠:吉首大学医学院,湖南 湘西
关键词: 腰椎间盘突出症治疗进展Lumbar Disc Herniation Treatment Progress
摘要: 腰间盘突出是一个很常见的骨科病症,其发生率较高,但该病的好发人群多为中年。而随着社会发展,该病发生的年龄范围也随之扩大,男性患者显著多于女性。目前,国内外关于腰间盘突出病症的处理方法主要包括两大类,即手术处理和保守治疗。因此,本文将主要概述腰椎间盘突出症,明确诊断关键后,分析两种治疗方式,以期为临床诊治提供更多建议。
Abstract: Lumbar disc herniation is a very common orthopedic disease with a high incidence, but the disease is most likely to occur in middle-aged people. With the development of society, the age range of the disease has also expanded, with male patients significantly more than women. At present, the treatment methods of lumbar disc herniation at home and abroad mainly include two categories, namely surgical treatment and conservative treatment. Therefore, this article will mainly summa-rize the lumbar disc herniation, analyze the two treatment methods after defining the diagnosis key, in order to provide more suggestions for clinical diagnosis and treatment.
文章引用:陈子超, 黎斐文, 吴仕筠. 腰椎间盘突出症治疗方式的研究进展[J]. 临床医学进展, 2023, 13(4): 5413-5418. https://doi.org/10.12677/ACM.2023.134767

参考文献

[1] 王国基, 王国军, 彭健民, 等. 腰椎间盘突出症致病因素的流行病学研究[J]. 现代预防医学, 2009, 36(13): 2401-2403.
[2] Kim, C.H., Chung, C.K., Kim, M.J., et al. (2018) Increased Volume of Lumbar Surgeries for Herniat-ed Intervertebral Disc Disease and Cost-Effectiveness Analysis: A Nationwide Cohort Study. Spine, 43, 585-593. [Google Scholar] [CrossRef
[3] 罗思进. 腰椎间盘突出症疼痛发生机制的研究进展[J]. 世界最新医学信息文摘, 2019, 19(58): 38-39.
[4] 陈万森, 陈乃旺, 任国帅, 隋国侠. 经皮脊柱内镜治疗重度向上脱垂型腰椎间盘突出症研究进展[J]. 实用骨科杂志, 2022, 28(2): 135-138.
[5] 李稳超, 司晓华. 腰骶-骨盆手法调整治疗腰椎间盘突出症研究进展[J]. 中医药临床杂志, 2022, 34(2): 385-389.
[6] 廖辉雄, 李鹏飞, 陈得胜, 等. 运用中药经验方腰突1号治疗腰椎间盘突出症气滞血瘀型的临床观察[J]. 湖南中医药大学学报, 2011, 31(6): 11-12.
[7] 蔡毅, 马同, 赵继荣, 王想福. 经皮内镜腰椎间盘切除术治疗腰椎间盘突出症术后复发的诊疗进展[J]. 临床骨科杂志, 2022, 25(1): 137-140.
[8] 张嘉麟, 梁锦前, 刘宏哲, 等. 牛膝总皂苷在腰椎间盘突出症治疗中的研究进展[J]. 中华骨与关节外科杂志, 2022, 15(2): 150-154.
[9] 王滢, 吴耀持, 孙懿君, 等. 一指禅推“筋会”阳陵泉治疗肝肾亏虚型腰椎间盘突出症[J]. 中医学报, 2016, 31(9): 1415-1418.
[10] 于守业, 刘京豫, 高绩真, 等. 神经张力手法治疗腰椎间盘突出症的研究进展[J]. 颈腰痛杂志, 2022, 43(1): 127-129.
[11] 王艳丽, 宁宇, 丁莹, 潘军英. 中医非手术疗法治疗腰椎间盘突出症研究进展[J]. 中医药信息, 2022, 39(1): 80-83.
[12] 胡江杉, 李佳, 黄重生, 唐宏图. 针刀治疗腰椎间盘突出症的机制研究进展[J]. 针灸临床杂志, 2022, 38(1): 104-107.
[13] 李戎基, 秦晓君, 温广浩. 牵引治疗腰椎间盘突出症的研究进展[J]. 大众科技, 2022, 24(1): 111-114.
[14] 尹亚娜, 李毅斌, 谌祖江, 李义凯. 非手术治疗腰椎间盘突出症疗效评价方法的研究进展[J]. 中医正骨, 2022, 34(1): 69-72.
[15] Hazer, D.B., Acarbaş, A. and Rosberg, H.E. (2021) Addendum: The Outcome of Epiduroscopy Treatment in Patients with Chronic Low Back Pain and Radicular Pain, Operated or Non-Operated for Lumbar Disc Herniation: A Retrospective Study in 88 Patients. The Korean Journal of Pain, 34, 371. [Google Scholar] [CrossRef] [PubMed]
[16] 谢志勇, 白金山, 见国繁, 张伶. 中西医治疗腰椎间盘突出症研究进展[J]. 中国中医药现代远程教育, 2021, 19(23): 196-198.
[17] Chen, X., Chamoli, U., Vargas Castillo, J., Ramakrishna, V.A.S. and Diwan, A.D. (2020) Complication Rates of Different Discectomy Techniques for Symptomatic Lumbar Disc Herniation: A Systematic Review and Meta-Analysis. European Spine Journal, 29, 1752-1770. [Google Scholar] [CrossRef] [PubMed]
[18] Manchikanti, L., Singh, V., Pampati, V., Falco, F.J. and Hirsch, J.A. (2015) Comparison of the Efficacy of Caudal, Interlaminar, and Transforaminal Epidural Injections in Managing Lumbar Disc Herniation: Is One Method Superior to the Other? The Korean Journal of Pain, 28, 11-21. [Google Scholar] [CrossRef] [PubMed]
[19] 黎晓燕, 田秀芬, 王乙钦, 等. 温针灸治疗腰椎间盘突出症临床研究进展[J]. 实用中医药杂志, 2021, 37(11): 1964-1967.
[20] 丁伟国, 徐卫星, 卢笛, 等. 经皮椎间孔镜与开放椎板间开窗术治疗腰椎间盘突出症的疗效分析[J]. 中国内镜杂志, 2016, 22(4): 43-48.
[21] Jiang, X., Zhou, X. and Xu, N. (2018) Clinical Effects of Transforaminal and Interlaminar Percutaneous Endoscopic Discectomy for Lumbar Disc Herniation: A Retrospective Study. Medicine, 97, e13417. [Google Scholar] [CrossRef
[22] 张皓, 杨茂江, 琼仙, 李豪胜. CT引导下化学消融术治疗腰椎间盘突出症的临床研究[J]. 重庆医学, 2017, 46(36): 5109-5111.
[23] 施长生, 吕维富, 郑春生, 等. CT引导下射频靶点热凝联合臭氧治疗腰椎间盘突出症的临床研究[J]. 介入放射学杂志, 2015, 24(2): 134-137.
[24] Hsu, H.-T., Chang, S.-J., Yang, S.S. and Chai, C.L. (2013) Learning Curve of Full-Endoscopic Lumbar Discectomy. European Spine Journal, 22, 727-733. [Google Scholar] [CrossRef] [PubMed]
[25] 姜岩. 腰椎间盘突出症患者应用脊柱后路显微内窥镜下微创手术的疗效及预后[J]. 临床医学研究与实践, 2019, 4(22): 93-94.
[26] Pan, Z., Ha, Y., Yi, S. and Cao, K. (2016) Efficacy of Transforaminal Endoscopic Spine System (TESSYS) Technique in Treating Lumbar Disc Herniation. Medical Science Monitor, 22, 530-539. [Google Scholar] [CrossRef
[27] 徐世尧, 宋国泉, 贺冬云, 等. PELD与MED手术治疗腰椎间盘突出症的疗效比较[J]. 中国骨与关节损伤杂志, 2019, 34(11): 1179-1181.
[28] 阿热艾•阿达力, 周文涛. 中医药非手术方法治疗腰椎间盘突出症研究进展[J]. 中医药临床杂志, 2021, 33(3): 584-588.
[29] Huang, Y., Yin, J., Sun, Z., et al. (2020) Percutaneous Endoscopic Lumbar Discectomy for LDH via a Transforaminal Approach versus an Inter-laminar Approach: A Meta-Analysis. Der Orthopäde, 49, 338-349. [Google Scholar] [CrossRef] [PubMed]
[30] Cheng, L., Cai, H., Liu, Z., et al. (2020) Modified Full-Endoscopic Interlaminar Discectomy via an Inferior Endplate Approach for Lumbar Disc Herniation: Retrospective 3-Year Results from 321 Patients. World Neurosurgery, 141, e537-e544. [Google Scholar] [CrossRef] [PubMed]
[31] Hijikata, S. (1989) Percutaneous Nucleotomy: A New Concept Technique and 12 Years’ Experience. Clinical Orthopaedics and Related Research, 238, 9-23. [Google Scholar] [CrossRef
[32] 鲜成树, 王科学, 吴勇刚, 赖国维. 经皮穿刺腰椎间盘切吸术治疗腰椎间盘突出症120例疗效分析[J]. 现代预防医学, 2011, 38(5): 992-993.
[33] 李中华, 霍世会, 赵晓东, 等. 经皮腰椎间盘切吸术治疗腰椎间盘突出症疗效分析[J]. 吉林医学, 2008(17): 1437-1438.
[34] 侯利光, 弓百锁. 经皮穿刺腰椎间盘切吸术治疗腰椎间盘突出症的远期疗效[J]. 实用医学影像杂志, 2007, 8(3): 193-194.