摘要
目的:腰椎间盘突出症是临床常见骨科疾病,临床上治疗方法主要包括三种:无创、微创与手术治疗。本文通过对近5年医学界对腰椎间盘突出症的无创与微创治疗的文献进行综述与分析,了解目前无创与微创治疗的临床研究与进展。方法:目前无创治疗方面治疗主要包括:卧床休息;药物疗法;针灸推拿;牵引术、综合疗法等。微创治疗腰椎间盘突出症的方法主要包括以下几种:经皮穿刺椎间盘切除或汽化术;臭氧介入治疗;射频消融治疗;显微外科椎间盘切除术;显微内镜椎间盘切除术。现对腰椎间盘突出症无创、微创治疗两方面进行综述与分析。结果:微创治疗创伤小,不容易破坏脊柱稳定性。牵引治疗能调整脊柱生理曲度,纠正脊柱畸形,但不能减少髓核组织和降低椎间盘压力。微创经皮穿刺腰椎间盘汽化术治疗降低椎间盘压力,但不能纠正脊柱关节紊乱和畸形,调整脊柱生理曲度。结论:综合无创与微创技术在治疗腰椎间盘突出症的应用,两者均具有操作方便、创伤小、出血少、并发症少、对腰椎稳定性影响小等优点;随着医学科学的发展,无创与微创治疗的相互结合,取长补短,将是临床医学研究的新方向之一,用最小的代价解除患者的疼痛是我们的最终治疗目的。
Objective： Lumbar disc herniation is a common clinical orthopedic diseases,clinical treatment method mainly includes three types： non-invasive,minimally invasive and surgical treatment.To understand the current clinical research and progress of noninvasive and minimally invasive treatment for lumbar disc herniation,we designed this literature review and analysis based on the past five years.Methods： Currently for lumbar disc herniation,the non-invasive treatment methods include： bed rest;drug therapy;acupuncture;traction,comprehensive therapy.Minimally invasive treatment methods include： percutaneous discectomy or vaporization;ozone intervention;radiofrequency ablation;microsurgical discectomy;endomicroscopy discectomy.The noninvasive and minimally invasive treatment were reviewed and analyzed.Results： For minimally invasive treatment,the trauma is minimal,and the spinal stability is not easy to be destroyed.Traction therapy can adjust the spine lordosis,correct spinal deformity,but can not reduce the nucleus pulposus and reduce disc pressure.Minimally invasive percutaneous lumbar intervertebral disc vaporization therapy reduces stress,but can not correct spinal disorders and joint deformities,adjusting the spine lordosis.Conclusion： Integrated non-invasive and minimally invasive techniques in the treatment of lumbar disc herniation applications,both with easy operation,minimal trauma,less bleeding,fewer complications,little effect on the stability of the lumbar spine,etc.With the development of medical science,noninvasive and minimally invasive treatment combined with each other,learn from each other,will be the new direction of clinical research.With the minimum cost relieve the patient’s pain is our ultimate therapeutic purposes.
出处
《中国医药导刊》
2013年第8期1368-1371,共4页
Chinese Journal of Medicinal Guide
关键词
腰椎间盘突出症
无创与微创治疗
综述
Lumbar disc herniation
Non-invasive and minimally invasive treatment
Summary
