颈椎间盘突出的自然消退  被引量:19

Spontaneous regression of cervical disc herniation

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作  者:谢林[1] 金哲[1] 金明熙[1] 吕刚[1] 

机构地区:[1]中国医科大学第一临床学院,辽宁沈阳110001

出  处:《中国临床康复》2002年第6期796-796,805,共2页Chinese Journal of Clinical Rehabilitation

摘  要:目的阐明颈椎间盘突出自然消退的机制,为颈椎病的保守治疗提供依据。方法1999年2月~2000年9月,在门诊保守治疗的患者中发现5例颈椎间盘突出自然消退的现象。每例患者均行两三次MRI检查,分别计算首、末次MRI上突出椎间盘的面积,计算突出椎间盘的吸收率。结果5例患者吸收率为30%~90%,平均58%,症状均有不同程度的缓解。结论颈椎间盘突出存在着自然消退,突出椎间盘的消退与症状缓解呈正相关。Objectives To clarify the mechanism of spontaneous regression of cervical disc herniation in order to establish the treatment strategy of cervical disc herniation. Methods 5 patients of cervical disc herniation regression were observed among patients who received conservative treatment the clinic. Every patient received 2 to 3 times of MRI check. The area of herniated disc was calculated respectively. Then the resorption rate of each case was calculated. Results The average resorption rate is 58%(30%~90%). All 5 patients had obtained some relief from symptoms. Conclusions The cervical herniated disc can regresse spontaneously. The symptom relief is correlated with the disc resorption.

关 键 词:颈椎间盘突出 自然吸收 MRI检查 局部炎症 

分 类 号:R681.53[医药卫生—骨科学]

 

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