腰椎间盘突出导致对侧症状的致病机制及治疗进展

Advances of pathogenesis and treatment of contralateral symptoms caused by lumbar disc herniation

腰椎间盘突出症是脊柱外科常见疾病^([1-4]),好发于30~50岁的人群。其中,男性发病率约为女性的2倍^([5])。人们生活方式改变导致的不良习惯,如长时间驾驶、长期伏案工作、久坐等,导致腰椎间盘突出症的发病率升高,发病人群也逐渐年轻化^([6-8])。重体力劳动、外伤等都是引起腰椎间盘突出症的重要因素^([7,9])。随着医学影像学的迅速发展,腰椎间盘突出的发现率也在逐渐升高^([7,10])。

The incidence of lumbar disc herniation has increased with changes in people's lifestyles,and the affected population has become younger.While herniated discs typically cause ipsilateral lower limb symptoms,some patients present with contralateral lower limb symptoms.The pathogenic mechanism of such cases is not entirely understood,and treatment options are controversial.This article provides a review of the pathogenesis and treatment advancements related to contralateral symptoms resulting from lumbar disc herniation,in accordance with APA style guidelines.