治疗缺口和新兴疗法在腰椎间盘的治疗缺口和新兴疗法
Douglas P Beall1, Kee D Kim2, Kevin Macadaeg3
1Comprehensive Specialty Care, Edmond, OK.
Pain physician
|October 1, 2024
概括
目前用于腰椎间盘 (LDH) 的治疗方法提供有限的长期缓解,并带有风险. 对于新的,最少的侵入性疗法有着未满足的需求,以有效地解决神经根压缩问题.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 干预性疼痛管理 干预性疼痛管理
- 神经外科 神经外科
背景情况:
- 腰椎间盘 (LDH) 涉及到细胞核的移位,压缩脊髓神经根.
- LDH会引起显著的根部腿部疼痛,根部病变和腰部疼痛,导致医疗保健利用率高.
研究的目的:
- 为提供当前腰椎间盘 (LDH) 治疗的概述.
- 确定LDH管理中的未满足需求.
- 描述LDH新出现的治疗方案.
主要方法:
- 使用PubMed进行了叙事文献综述.
- 关键词包括"腰椎间盘","根性腿部疼痛","肌痛","治疗","治疗"和"负担".
主要成果:
- 外周注射类固醇注射 (ESI) 为LDH提供短期的疼痛缓解,但缺乏持续的益处,并带有风险.
- 腰椎切除术提供快速缓解,但可能导致复发性疼痛,修复手术和退行性变化.
- 新兴的治疗方法包括持续释放ESI和化学核溶解剂,微创疗法显示出有前途.
结论:
- 由于患者交叉,一些LDH治疗的长期疗效数据有限.
- 目前治疗方法的局限性凸显了对LDH新的,最少侵入性的治疗方法的需求.
关键词:
化学核聚变 (chemonucleolysis) 是一种化学反应.在Condoliase中使用.脊髓周围注射类固醇注射内疗法是一种内疗法.腰部根部病变 - 腰部根部病变微分体切除术 (microdiscectomy) 是一个微分体切除术.最少侵入性的治疗方法.根性腿部疼痛是一种根性腿部疼痛.手术 手术 手术 手术 手术 手术 手术腰椎椎间盘的发生更多相关视频
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