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腰椎间盘突出症的自然消退:4例报告及文献复习

Spontaneous regression of lumbar disc herniation: four cases report and review of the literature.

作者信息

Zheng Yang, Zhu Can, Huang Jie-Feng, Manoharasetty Advaith, Zhang Hong

机构信息

The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

Hangzhou Fuyang Hospital of Orthopedics of Traditional Chinese Medicine, Hangzhou, China.

出版信息

Nagoya J Med Sci. 2024 Aug;86(3):370-382. doi: 10.18999/nagjms.86.3.370.

Abstract

Spontaneous regression of lumbar disc herniation refers to shrinkage or disappearance of herniated nucleus pulposus without invasive surgical treatments. This phenomenon has been reported and is supported by improved clinical symptoms and radiographic after conservative treatment, but the underlying mechanism remains unclear. This article reports 4 cases of disc reabsorption and reviews the distribution of several clinical and radiographic factors of disc herniation reabsorption of total 46 patients, including the four from our study, gathered from 28 recent publications. Some of these factors are present with anomalous distributions. But some factors have similar deviations in patients with lumbar disc herniation. Therefore, more research is needed to explore the correlation between those factors and disc reabsorption.

摘要

腰椎间盘突出症的自然消退是指在未进行侵入性手术治疗的情况下,突出的髓核出现萎缩或消失。这种现象已有报道,并且保守治疗后临床症状改善及影像学表现也支持这一点,但其潜在机制仍不清楚。本文报告了4例椎间盘吸收的病例,并回顾了总共46例患者(包括我们研究中的4例)腰椎间盘突出症吸收的若干临床和影像学因素的分布情况,这些病例来自最近的28篇出版物。其中一些因素呈现异常分布。但在腰椎间盘突出症患者中,有些因素有类似的偏差。因此,需要更多研究来探索这些因素与椎间盘吸收之间的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0f8/11439616/93702d9c07d5/2186-3326-86-0370-g001.jpg

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