腰椎间盘突出症保守治疗的再争议——髓核脱出的回缩与吸收现象的反思

Clinical Significance of the Spontaneous Regression or Absorption of Protruded Nucleus Pulposus in the Patients with Lumbar Disc Protrusion

MRI影像学证实的腰椎间盘脱出髄核可以发生回缩或消失的现象近来受到学术界的关注。本文就该现象的临床预测及对于腰椎间盘突出症保守治疗原则引发的临床争议进行了归纳,进而提出对腰椎间盘突出症的基本病理认识的革命性探索。

The spontaneous regression or absorption of protruded nucleus pulposus of lumbar spine has been focused recently by clinicians. The paper summarized the ways for predicting of the regression or absorption of protruded nucleus pulposus and clinical ambiguity aroused by the phenomenon, which may further enrich our understanding about the pathomechanics of lumbar disc protrusion.