中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2014年
2期
174-177
,共4页
仝彦格(综述)%李现林(综述)%谭毅(审校)
仝彥格(綜述)%李現林(綜述)%譚毅(審校)
동언격(종술)%리현림(종술)%담의(심교)
终板源性腰痛%终板损伤退变%Modic改变%治疗
終闆源性腰痛%終闆損傷退變%Modic改變%治療
종판원성요통%종판손상퇴변%Modic개변%치료
Lumbago originating from endplate%Endplate degeneration damage%Modic changes%Treatment
随着核磁共振成像技术的发展,对椎体终板及终板下骨Modic改变的认识,终板源性腰痛在临床上越来越受到重视。目前研究表明终板源性腰痛与终板损伤退变密切相关,但疼痛的产生机制尚不完全清楚。保守治疗仍是其主要手段,手术治疗不可或缺,各种新方法、新技术手段也逐渐发展起来,临床疗效仍需进一步的研究证实。
隨著覈磁共振成像技術的髮展,對椎體終闆及終闆下骨Modic改變的認識,終闆源性腰痛在臨床上越來越受到重視。目前研究錶明終闆源性腰痛與終闆損傷退變密切相關,但疼痛的產生機製尚不完全清楚。保守治療仍是其主要手段,手術治療不可或缺,各種新方法、新技術手段也逐漸髮展起來,臨床療效仍需進一步的研究證實。
수착핵자공진성상기술적발전,대추체종판급종판하골Modic개변적인식,종판원성요통재림상상월래월수도중시。목전연구표명종판원성요통여종판손상퇴변밀절상관,단동통적산생궤제상불완전청초。보수치료잉시기주요수단,수술치료불가혹결,각충신방법、신기술수단야축점발전기래,림상료효잉수진일보적연구증실。
With the development of magnetic resonance imaging (MRI) and the cognition of Modic changes in the vertebral endplate and sub-endplate bone , lumbago originating from endplate is more and more paid attention clinically.The present study suggests that lumbago originating from endplate is closely related to injury of endplate degeneration , but the pain mechanism is not fully clear .Conservative treatment is still the main means .Surgical treatment is indispensable .All kinds of new methods and new technology is also gradually developed .Clinical cura-tive effect still needs further study .