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腰椎间盘突出症非手术治疗的研究进展

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Author:: No author available

Journal Title:: Chinese Journal of Biomedical Engineering

Issue:: 5

DOI:: 10.3760/cma.j.issn.1674-1927.2016.05.017

Key Word:: No keyword available

Abstract：腰椎间盘突出症是椎间盘退行性变、纤维环破裂,髓核组织突出压迫和刺激脊髓神经根、马尾神经所引起的一种综合征.目前,大多数脊柱外科医生均认为,神经根性疼痛的患者只有经过系统的非手术治疗失败后,可选择手术治疗.至于最有效的治疗类型和合适的保守治疗期限,目前并没有统一意见,且各种观点差异很大.近年来,在传统开放手术的基础上微创手术逐渐发展,其中以Hoogland等[1]提出的TESSYS (transforaminal endoscopic spine system)为经皮椎间孔镜椎间盘切除(percutaneous transforaminal endoscopic discectomy,PTED)的主要技术,克服了术中出血多、创伤大、并发症多、康复周期长等缺点,这对非手术治疗的优势提出了挑战.

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