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腰椎椎间孔性神经病变:非手术治疗的最新进展

Lumbar foraminal neuropathy: an update on non-surgical management.

作者信息

Choi Young Kook

机构信息

New Jersey Pain Medicine for the Difficult and Failed Pain, Robert Wood Johnson University Hospital Rahway, Rahway, NJ, USA.

出版信息

Korean J Pain. 2019 Jul 1;32(3):147-159. doi: 10.3344/kjp.2019.32.3.147.

Abstract

Lumbar foraminal pathology causing entrapment of neurovascular contents and radicular symptoms are commonly associated with foraminal stenosis. Foraminal neuropathy can also be derived from inflammation of the neighboring lateral recess or extraforaminal spaces. Conservative and interventional therapies have been used for the treatment of foraminal inflammation, fibrotic adhesion, and pain. This update reviews the anatomy, pathophysiology, clinical presentation, diagnosis, and current treatment options of foraminal neuropathy.

摘要

导致神经血管内容物受压及神经根症状的腰椎椎间孔病变通常与椎间孔狭窄相关。椎间孔神经病变也可能源于相邻侧隐窝或椎间孔外间隙的炎症。保守治疗和介入治疗已被用于治疗椎间孔炎症、纤维性粘连及疼痛。本综述回顾了椎间孔神经病变的解剖学、病理生理学、临床表现、诊断及当前的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e142/6615450/ecf1a9ac0731/KJP-32-147-g001.jpg

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