Tindall G T, Garcia-Bengochea J
Division of Neurosurgery, Emory University School of Medicine, Atlanta, GA.
J Med Assoc Ga. 1990 Sep;79(9):679-88.
The diagnosis and management of lumbar disc disease has undergone significant changes in recent years. This is especially true for diagnostic imaging studies (MRI and CT). Currently, CT/myelography or unenhanced MRI may be used to confirm the diagnosis and the level of involvement of lumbar disc disease. The indications for lumbar disc surgery include patients with neurologic deficits and/or those in whom intractable pain does not respond to conservative measures. Conventional disc surgery and/or microdiscectomy are both good operative procedures for lumbar disc disease, and each yields excellent results when criteria for diagnosis and surgery are strictly followed.
近年来，腰椎间盘疾病的诊断和治疗发生了显著变化。诊断性影像学检查（MRI和CT）尤其如此。目前，CT/脊髓造影或平扫MRI可用于确诊腰椎间盘疾病及其受累节段。腰椎间盘手术的适应证包括有神经功能缺损的患者和/或保守治疗无效的顽固性疼痛患者。传统椎间盘手术和/或显微椎间盘切除术都是治疗腰椎间盘疾病的良好手术方法，只要严格遵循诊断和手术标准，每种方法都能取得优异的效果。
