期刊文献+

椎间盘源性腰痛的诊疗进展 被引量:17

Diagnosis and treatment of discogenic pain
下载PDF
导出
摘要 椎间盘源性腰痛越来越被大家所重视,它是所有不以神经组织受压(即除外腰椎间盘突出症、腰椎管狭窄等)为主要表现的腰椎间盘退行性疾病,对其发病机制及诊断方法进行了大量的研究,在治疗上也进行了许多尝试,保守治疗,微创治疗,融合和非融合手术都取得了不错的疗效,本文综述了该疾病的诊疗方面的新进展,同时展望了未来的发展。 The discogenic back pain has been paid more and more attention to. It is lumbar intervertebral disc degenerative disease without performance of pressure to nerve tissue ( that is, except for lumbar disc herniation, lumbar spinal stenosis, etc. ) . The pathogenesis and diagnostic method was investigated in a large number of studies. A number of attempts have also been carried out in the treatment. Minimally invasive treatment, integration and non -fusion surgery have achieved good efficacy. This article summarizes the diagnosis and new progress in treatment of this disease, at the same time looks to the future development.
出处 《中国矫形外科杂志》 CAS CSCD 北大核心 2009年第17期1307-1310,共4页 Orthopedic Journal of China
关键词 椎间盘源性腰痛 椎间盘造影 非融合手术 基因 discogenic back pain discography non - fusion surgery gene
  • 相关文献

参考文献34

  • 1Park WM, McCall IW, O'Brien JP, et al. Fissuring of the posterior annulus fibrosus in the lumbar spine[J]. Br J Radiol,1979,52:382 - 387.
  • 2杨惠林(整理),马宏庆(整理),王根林(整理),蒋定华(整理),周军(整理),朱若夫(整理).全国腰椎退行性疾患座谈会会议纪要[J].中华骨科杂志,2006,26(10):711-716. 被引量:80
  • 3Beatty RA. Myxomatous degeneration of the lumbar intervertebral disc [ J ]. Neurosurgery, 1985,17 : 277 - 280.
  • 4Natarajan RN, Ke JH, Andersson GB. A model to study the disc degeneration process[ J]. Spine, 1994,19:259 - 265.
  • 5Melrose J, Ghosh P, Taylor TK. A comparative analysis of the differential spatial and temporal distributions of the large ( aggreean, versican) and small( decofin, biglycan, fibromodulin) proteoglycans of the intervertebral disc [ J ]. J Anat, 2001,198:3 - 15.
  • 6Kawaguchi Y, Osada R, Kanamori M, et al. Association between an aggrecan gene polymorphism and lumbar disc degeneration [ J ]. Spine, 1999,24:2456 - 2460.
  • 7Napoli CD,Lasparaginase Emieux C,Jor Gensen R. Introduction of a chalcone synthase gene into petunia results in reversible cosuppression of homologous gene in trans[ J]. Plant Cell, 1990,2:279 -289.
  • 8Suseki K, Takahashi Y, Takahashi K, et al. Sensory nerve fibres from lumbar intervertebral discs pass through rami communicantes: a possible pathway for discogenic low back pain[ J]. J Bone Joint Surg( Br), 1998,80:737 - 742.
  • 9Peng B, Wu W, Hou S,et al. The pathogenesis of discogenic low back pain[J]. J Bone Joint Surg (Br) ,2005,87:62 -67.
  • 10Ohtori S, Inoue G, Ito T, et al. Tumor necrosis factor immunoreactive cells and PGP 9.5 - immunoreactive nerve fibers in vertebral endplates of patients with discogenic low back pain and Modic Type 1 or Type 2 changes on MRI[J]. Soine. 2006.31,1026 -1031.

二级参考文献162

  • 1彭宝淦,吴闻文,侯树勋,张春丽,杨毅,王晓宏,付小兵.椎间盘源性下腰痛的发病机制[J].中华外科杂志,2004,42(12):720-724. 被引量:35
  • 2彭宝淦,孙金烈,王晓宁,张健,李振宙,吴闻文,侯树勋.腰椎间盘造影一致性疼痛反应和纤维环破裂程度的相关性研究[J].中国矫形外科杂志,2005,13(3):190-192. 被引量:29
  • 3杨惠林 唐天驷.腰椎不稳与腰椎管狭窄专题研讨会纪要[J].中华骨科杂志,1994,14(1):65-65.
  • 4赫克维茨.罗思曼-西蒙尼脊柱外科学:(第4版)(英文影印版)[M].北京:科学出版社,2001,1.755.
  • 5Crock HV. A reappraisal of intervertebral disc lesions. Med J Aust, 1970, 1: 983-959.
  • 6Brisby H. Pathology and possible mechanisms of nervous system response to disc degeneration. J Bone Joint Surg(Am), 2006, 88 Suppl 2: 68-71.
  • 7Schwarzer AC, Aprill CN, Derby R, et al. The prevalence and clinical features of internal disc disruption in patients with chronic low back pain. Spine, 1995, 20: 1878-1883.
  • 8Peng B, Hou S, Wu W, et al. The pathogenesis and clinical significance of a high-intensity zone (HIZ) of lumbar intervertebral disc on MR imaging in the patient with discogenic low back pain. Eur Spine J, 2006, 15: 583-587.
  • 9Carragee E J, Lincoln T, Parmar VS, et al. A gold standard evaluation of the “discogenic pain” diagnosis as determined by provocative discography. Spine, 2006, 31: 2115-2123.
  • 10Mayer J, Mooney V, Dagenais S. Evidence-informed management of chronic low back pain with lumbar extensor strengthening exercises. Spine J, 2008, 8: 96-113.

共引文献234

同被引文献182

引证文献17

二级引证文献55

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部