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作 者:吉喆 JI Zhe(Department of Pain,Tianjin First Hospital,Tianjin 300232,China)
出 处:《罕少疾病杂志》2023年第4期111-112,共2页Journal of Rare and Uncommon Diseases
摘 要:腰椎间盘突出症(LDH)在骨科疾病中占有一定比例,且在青壮年人群中发病率最高。患者主要表现包括腰腿部的疼痛、麻木以及肌肉力量下降等,病情严重患者可能发生大小便失禁以及瘫痪,极大程度上威胁患者生活质量。目前,针对LDH的治疗往往是借助保守治疗(或)和外科治疗实现。病情轻微者,可首先实施保守疗法,当保守疗法难以对病情进行有效控制,则转为外科治疗。伴随微创介入术式的日益发展和完善,低温等离子射频消融术(Coblation)与臭氧注射术等微创介入治疗手段开始被广泛应用,且均展现出良好的效果。为了给LDH患者提供一种安全可靠的治疗方案,现对上述两种介入术式联用治疗LDH的研究进展予以综述。Lumbar intervertebral disc herniation(LDH)occupies a certain proportion in orthopedic diseases,and has the highest incidence in young and middle-aged people.The main manifestations of patients include pain in the waist and legs,numbness and decreased muscle strength,etc.In severe cases,incontinence and paralysis may occur,which greatly threatens the quality of life of patients.Currently,treatment for LDH is usually achieved by conservative treatment or surgical treatment.In mild cases,conservative therapy may be used first,and when it is difficult to control the disease effectively,surgical treatment may be used.With the development and improvement of minimally invasive interventional procedures,cryogenic plasma radiofrequency ablation(Coblation)and ozone injection and other minimally invasive interventional procedures have been widely used,and have shown good results.In order to provide a safe and reliable treatment plan for LDH patients,this paper reviews the research progress of the combination of the two interventional surgical methods for LDH.
关 键 词:腰椎间盘突出症 低温等离子射频消融术 臭氧注射术 研究进展
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