摘要
背景:目前为止,椎间盘退变源性腰痛的发病机制研究并不十分清楚明了,对于其治疗的手段也多种多样,但效果不一。目的:综述近年国内外椎间盘退变机制及修复的研究进展。方法:由第一作者检索至2014年11月为止Pub Med数据(http://www.ncbi.nlm.nih.gov/Pub Med)及CNKI中国期刊全文数据库(http://www.cnki.net/),以"椎间盘退变因素,椎间盘源性腰痛,椎间盘退变治疗"等为检索词,共检索到78篇相关文献,排除重复研究,共30篇文献符合纳入标准。结果与结论:综合大量国内外科研人员对椎间盘退变的研究,目前比较推崇的退变因素包括形态学上的改变、炎性递质和细胞外基质的变化、生长因子的作用等,治疗上仍处于对其形态学的修复方面,其中经皮穿刺椎间盘减压、椎体融合、人工椎间盘置换、动态稳定系统等手术治疗方法对椎间盘退变引起的症状有确切的疗效。
BACKGROUND：So far, the pathogenesis of discogenic low back pain is poorly understood. A great diversity of therapeutic means is developed for discogenic low back pain, but the therapeutic outcomes are mixed. OBJECTIVE：To review the research progress in mechanisms and repair of intervertebral disc degeneration in recent years. METHODS： The first author retrieved the PubMed and CNKI databases for relevant articles published before November 2014 using the keywords of “disc degeneration factor, discogenic low back pain, disc degeneration therapy” in English and Chinese, respectively. Initialy, 78 relevant articles were retrieved, but only 30 articles were included in result analysis folowing elimination of duplicate studies. RESULTS AND CONCLUSION：The relatively respected factors for intervertebral disc degeneration include changes in morphology, inflammatory neurotransmitters and the extracelular matrix as wel as role of growth factors. The treatment for intervertebral disc degeneration stil focuses on the morphological restoration. Some surgical therapies, including percutaneous disc decompression, interbody fusion, artificial disc replacement, dynamic stabilization system, have the exact effects on the symptoms due to intervertebral disc degeneration.
出处
《中国组织工程研究》
CAS
北大核心
2015年第11期1768-1773,共6页
Chinese Journal of Tissue Engineering Research
