椎间盘源性腰痛的微创介入治疗研究进展  

Research progress of minimally invasive interventional therapy for discogenic low back pain

作　　者：张忠[1] 黄春苹 黄美娜(综述)[1] 刘继强(审校)[1] ZHANG Zhong;HUANG Chunping;HUANG Meina;LIU Jiqiang(Department of Anesthesiology,People's Hospital of Wuqing District,Tianjin 301700,China)

机构地区：[1]天津市武清区人民医院麻醉科,天津301700

出　　处：《外科研究与新技术》2022年第3期191-192,206,共3页Surgical Research and New Technique

摘　　要：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.

关 键 词：椎间盘源性腰痛 微创介入 热凝术 

分 类 号：R232[医药卫生—中医学]