退行性腰椎滑脱症非手术治疗的研究进展  

Advances in non-surgical treatment of degenerative lumbar spondylolisthesis

作　　者：宋达玮[1] 钮俊杰 王金宁[1] 邵毅杰 章君鑫 邹俊[1] 杨惠林[1] SONG Dawei;NIU Junjie;WANG Jinning;SHAO Yijie;ZHANG Junxin;ZOU Jun;YANG Huilin(Department of Orthopaedics,The First Affiliated Hospital of Soochow University,Suzhou 215006,Jiangsu,China)

机构地区：[1]苏州大学附属第一医院骨科,江苏苏州215006

出　　处：《中华骨与关节外科杂志》2023年第12期1132-1138,共7页Chinese Journal of Bone and Joint Surgery

摘　　要：退行性腰椎滑脱症(DLS)是导致腰痛的最常见原因之一,尤其是在老龄群体中。人口老龄化及工作方式和生活习惯的改变增加了退行性疾病的发病率,提前了退变性疾病的发病时间。尽管关于DLS的最佳治疗方案还存在诸多争议,但是早期规范化的非手术治疗仍然作为首选。大部分患者经合理的非手术治疗即可取得满意疗效。非手术治疗主要包括患者教育和心理治疗、物理治疗、药物治疗和综合性非手术治疗。本文针对DLS的非手术治疗机制、方法和相关研究进展进行综述。Degenerative lumbar spondylolisthesis(DLS)is one of the most leading causes of lumbar pain,especially among the elderly population.The aging population and the change in working style and lifestyle habits have increased the incidence of degenerative diseases and advanced the onset time of degenerative diseases.At present,although there are still many controversies about the optimal therapeutic approach for DLS,the initial standardized nonsurgical treatment remains the first choice.Most patients can achieve satisfactory outcomes after appropriate non-surgical treatment.Non-surgical treatment mainly includes educational psychotherapy,physical therapy,medical therapy,and comprehensive non-surgical therapy.This article reviews the mechanism,methods,and related research progress of the non-surgical treatment for DLS.

关 键 词：退行性腰椎滑脱症 非手术治疗 物理治疗 药物治疗 综合性非手术治疗 

分 类 号：R681.5[医药卫生—骨科学]