天津医药
天津醫藥
천진의약
Tianjin Medical Journal
2015年
11期
1244-1249
,共6页
腰椎%椎间盘%腰痛%椎间盘造影%诊断%治疗
腰椎%椎間盤%腰痛%椎間盤造影%診斷%治療
요추%추간반%요통%추간반조영%진단%치료
lumbar vertebrae%intervertebral disk%low back pain%discography%diagnosis%therapy
引起腰痛的原因有很多,如肌肉韧带损伤、脊柱关节退行性变、椎管狭窄、椎间盘突出、腰椎滑脱、椎间盘源性腰痛、自身免疫性疾病、感染、肿瘤、代谢性骨病等。而椎间盘源性腰痛则是近些年被认识到的,尤其是磁共振技术广泛应用于临床之后,对本病的认识取得了很大进展。本文将从病因、发生机制、临床诊断及治疗几个方面对近年来关于椎间盘源性腰痛的研究综述如下。
引起腰痛的原因有很多,如肌肉韌帶損傷、脊柱關節退行性變、椎管狹窄、椎間盤突齣、腰椎滑脫、椎間盤源性腰痛、自身免疫性疾病、感染、腫瘤、代謝性骨病等。而椎間盤源性腰痛則是近些年被認識到的,尤其是磁共振技術廣汎應用于臨床之後,對本病的認識取得瞭很大進展。本文將從病因、髮生機製、臨床診斷及治療幾箇方麵對近年來關于椎間盤源性腰痛的研究綜述如下。
인기요통적원인유흔다,여기육인대손상、척주관절퇴행성변、추관협착、추간반돌출、요추활탈、추간반원성요통、자신면역성질병、감염、종류、대사성골병등。이추간반원성요통칙시근사년피인식도적,우기시자공진기술엄범응용우림상지후,대본병적인식취득료흔대진전。본문장종병인、발생궤제、림상진단급치료궤개방면대근년래관우추간반원성요통적연구종술여하。
Many reasons cause low back pain, such as muscles and ligaments injury, vertebral joints retrogression, spinal canal stenosis, lumbar disc herniation, lumbar spondylolisthesis, spondyloarthritis, infection, tumor and metabolic bone disease. It is in recent years that discogenic low back pain be recognised, especially after the MRI widely applied in clinics. This article makes a summary on discogenic low back pain of recent years from etiology, pathogenesis, diagnosis and therapy.