Yang Xiaohui, Zhang Qin, Hao Xiaoning, Guo Xinghua, Wang Liping
Yuncheng Central Hospital, Shanxi 044000, China.
Lanzhou University Second Hospital, Gansu 730000, China.
Clin Neurol Neurosurg. 2016 Apr;143:86-9. doi: 10.1016/j.clineuro.2016.02.020. Epub 2016 Feb 16.
Lumbar disc herniation (LDH) is a common disease that induces back pain and radicular pain. The most efficient method for the treatment of lumbar disc herniation is still controversial. Spontaneous regression of LDH has been recognized with the advancement of radiological diagnostic tools and can explain the reason of spontaneous relief of symptoms without treatment. The proposed hypotheses are; dehydration, retraction of the disc to the hernia in the annulus fibrosis, enzymatic catabolism and phagocytosis. In this study, the case of a patient with huge lumbar disc hernia regressing by itself has been presented and the potential mechanisms of disc regression have been discussed.
腰椎间盘突出症（LDH）是一种引发背痛和神经根性疼痛的常见疾病。治疗腰椎间盘突出症最有效的方法仍存在争议。随着放射学诊断工具的发展，LDH的自然消退已得到认可，并且这可以解释未经治疗症状却自然缓解的原因。提出的假说是：脱水、椎间盘向纤维环疝内回缩、酶促分解代谢和吞噬作用。在本研究中，报告了一例巨大腰椎间盘疝自行消退的病例，并讨论了椎间盘消退的潜在机制。
