介入放射学杂志
介入放射學雜誌
개입방사학잡지
Journal of Interventional Radiology
2015年
10期
928-931
,共4页
极外侧型腰椎间盘突出症%治疗进展%微创介入治疗
極外側型腰椎間盤突齣癥%治療進展%微創介入治療
겁외측형요추간반돌출증%치료진전%미창개입치료
far lateral lumbar disc herniation%progress in treatment%minimally invasive interventional therapy
极外侧型腰椎间盘突出症（FLLDH）系根据椎间盘造影,结合患者临床表现,首次真正意义上提出了“极外侧突出”这一概念,FLLDH属于腰椎间盘突出症中的一种特殊类型,较其他类型少见,约占全部腰椎间盘突出症的0.7%~11.7%。虽发生率相比于其他类型腰椎间盘突出症较低,但其症状较重,突出位置特殊,治疗较为复杂,主要有保守治疗、微创介入治疗及外科手术治疗等方法,现将其相应的治疗进展作一综述。
極外側型腰椎間盤突齣癥（FLLDH）繫根據椎間盤造影,結閤患者臨床錶現,首次真正意義上提齣瞭“極外側突齣”這一概唸,FLLDH屬于腰椎間盤突齣癥中的一種特殊類型,較其他類型少見,約佔全部腰椎間盤突齣癥的0.7%~11.7%。雖髮生率相比于其他類型腰椎間盤突齣癥較低,但其癥狀較重,突齣位置特殊,治療較為複雜,主要有保守治療、微創介入治療及外科手術治療等方法,現將其相應的治療進展作一綜述。
겁외측형요추간반돌출증（FLLDH）계근거추간반조영,결합환자림상표현,수차진정의의상제출료“겁외측돌출”저일개념,FLLDH속우요추간반돌출증중적일충특수류형,교기타류형소견,약점전부요추간반돌출증적0.7%~11.7%。수발생솔상비우기타류형요추간반돌출증교저,단기증상교중,돌출위치특수,치료교위복잡,주요유보수치료、미창개입치료급외과수술치료등방법,현장기상응적치료진전작일종술。
The concept of far lateral lumbar disc herniation was firstly reported by Abdullah in 1974. The diagnosis of far lateral lumbar disc herniation is based on the discography findings as well as on clinical manifestations. Far lateral lumbar disc herniation is a special type of lumbar disc herniation. Clinically, far lateral lumbar disc herniation is less seen than other types of lumbar disc herniation, it accounts for 0.7%-11.7% of total lumbar intervertebral disc protrusion. Although the incidence of far lateral lumbar disc herniation is lower, its symptoms are usually heavier and its protrusion sites are specific. Its treatment methods are more complex, including mainly conservative treatment, minimally invasive interventional therapy and surgical management, etc. This paper aims to make a review about the recent progress in its corresponding treatment.
