对腰椎间盘的治疗指南进行系统审查
Haiyue Jin1, Alexander M Lopez2, Flor Garza Romero1
1The University of California, Irvine, School of Medicine, Irvine, CA, USA.
Neurospine
|July 8, 2025
概括
本综述总结了椎间盘 (HLD) 治疗的临床指南. 既定的外科手术技术和外围注射显示出更高的信心,而非侵入性疗法缺乏强有力的证据.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
背景情况:
- 腰椎间盘 (HLD) 是一种常见的疾病,需要结构化的治疗方法.
- 专业协会的临床指导方针指导HLD的管理.
研究的目的:
- 巩固最近关于腰椎间盘 (HLD) 治疗的临床指南.
- 总结关于HLD非手术和手术治疗选择的结论.
主要方法:
- 在多个数据库 (PubMed,科学网,Scopus等) 中进行系统的搜索. 和医学协会网站进行.
- 包括来自专业协会的英语全文指南,这些指南与HLD相关.
- 基于评估的治疗方法进行了比较,并记录了推等级.
主要成果:
- 分析了来自各种国际和美国专业协会和机构的12条指导方针.
- 评估的治疗包括手术,侵入性非手术和非侵入性非手术干预.
- 已建立的外科手术技术和外围注射获得了更高的信心评级,而非侵入性疗法 (除CBT外) 的证据有限.
结论:
- 腰椎间盘 (HLD) 管理涉及各种方式,特定疗法提供更好的疼痛缓解.
- 尽管有指导方针的变化,外科干预和外围注射始终被推以更高的信心.
- 需要进一步的研究来评估HLD的新治疗方法.
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