腰椎间盘突出症手术治疗的研究进展  

Research progress of surgical treatment of lumbar disc herniation

作　　者：王虎伟 朱炯璐 崔小平[2] WANG Huwei;ZHU Jionglu;CUI Xiaoping(The Fifth Clinical Medicine College of Shanxi Medical University,Taiyuan 030000,China;Department of Orthopaedics,Shanxi Provincial People's Hospital,Taiyuan 030000,China)

机构地区：[1]山西医科大学第五临床医学院,山西太原030000 [2]山西省人民医院骨科,山西太原030000

出　　处：《分子影像学杂志》2024年第8期876-880,共5页Journal of Molecular Imaging

基　　金：山西省自然科学研究面上项目(202303021211234);山西省自然科学研究面上项目(202203021211056);山西省青年科学研究项目(202203021222355)。

摘　　要：腰椎间盘突出症(LDH)是骨科的常见病和多发病,严重影响患者的身心健康及日常生活工作。目前临床上治疗LDH的方法很多,绝大多数轻中度患者经保守治疗即可缓解症状,甚至康复。经保守治疗失败或合并马尾神经综合征等需选择手术治疗。手术治疗的具体种类方式繁多,且每种疗法都有其各自的特点,各种治疗方法可以单独使用,也可以联合使用,联合治疗的效果明显优于单一治疗。本文通过查阅近几年国内外公开发表的有关LDH手术治疗的各种文献并进行总结,从传统手术、微创手术、介入手术和机器人辅助手术四个方面进行综述,旨在为LDH临床治疗方案的选择提供参考依据。Lumbar disc herniation(LDH)is a common and frequently-occurring disease in orthopaedics,which can seriously affect patients'physical and mental health,daily life and work.At present,there are many clinical methods to treat LDH,and the vast majority of mild and moderate patients can relieve symptoms or even recover after conservative treatment.Surgical treatment should be selected for failure of conservative treatment or cauda equina syndrome.There are many specific types of surgical treatment,and each therapy has its own characteristics,various treatment methods can be used alone,can also be used in combination,the effect of combined treatment is significantly better than single treatment.In this paper,various literatures on LDH surgical treatment published at home and abroad in recent years were reviewed and summarized,and four aspects of traditional surgery,minimally invasive surgery,interventional surgery and robot-assisted surgery were reviewed,aiming to provide reference for the selection of clinical treatment of LDH.

关 键 词：腰椎间盘突出症 手术 研究进展 

分 类 号：R687.3[医药卫生—骨科学]