有关腰椎间盘突出症问题

The Problems Concerning Protrusion of Lumbar Intervertebral Disc

腰椎间盘突出症是下腰部椎管内较常见的疾病。我院收治980例,并对720例随访三年以上,对本症的病因、病理、发病机理、诊断与治疗方面进行了探讨。我们的观点是:①椎间盘纤维破裂,主要由于自身退行性变,慢性劳损为退变基础,外伤为突出诱因。②椎间盘突出是占位性病变,对神经的压迫刺激是致痛因素。③病史、症状、体征和X线检查是诊断的重要依据。造影、CT不宜作为常规检查。④手术治疗与非手术治疗各有其适应症,二者不可偏废。⑤手术方式应根据病情采取不同方案。

Protrusion of lumbar intervertebral disc is the common diseases in the lower lumbar spinal canal. From 1956 to 1986 980 cases underwent operation,720 of them were followed up over 3 years.the etiology, pathology, pathogonesis, diagnosis and treatment of PLID are discussed here. Out view points are:(1) Rupture of interve(?)tebral disc fibrous ring is chiefly duo to its degenerative change. It means that chronic lalo(?) strain is the essential factor while trauma is the exciting cause. (2) PLID is a space occupying disease, its pressure on the nerve leads to pain symptom. (3) Diagnosis of this disease chiefly rests on the case history, symptom ane signs, and X rays film. Contrast medium examination and CT are not recommend as routine. (4) Both operative and nonoperative treatment have indications; neither of the treatment should be abandoned. (5) Operative methods is decided in accord with the patientls symptoms and signs.