文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

腰椎间盘突出症治疗指南的系统评价

A Systematic Review of Treatment Guidelines for Lumbar Disc Herniation.

作者信息

Jin Haiyue, Lopez Alexander M, Romero Flor Garza, Hoang Ryan, Ramesh Ashish, Bow Hansen C

机构信息

The University of California, Irvine, School of Medicine, Irvine, CA, USA.

Department of Neurosurgery, University of California, Irvine, Orange, CA, USA.

出版信息

Neurospine. 2025 Jun;22(2):389-402. doi: 10.14245/ns.2550398.199. Epub 2025 Jun 30.


DOI:10.14245/ns.2550398.199
PMID:40625005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12242731/
Abstract

Various treatments have been developed for treating herniated lumbar discs (HLD), which have been examined by professional associations when composing clinical guidelines that provide structured approaches to treating HLD. This paper aims to gather recent guidelines and summarize their conclusions on nonsurgical and surgical treatment options. PubMed, Web of Science, Scopus, Guidelines International Network, Turning Research into Practice databases, and websites of medical societies were searched for clinical guidelines of HLD. Full-text guidelines published by a professional association in English relevant to HLD were included. Comparisons among guidelines were made based on the treatments evaluated, and recommendation grades were recorded when provided by the guidelines. A total of 12 guidelines were included, with 4 by non-United States (US) or international associations, 3 by US pain societies, 2 by surgical societies, 2 by government agencies, and 1 by a multidisciplinary medical society. Treatments assessed included surgical, invasive nonsurgical, and noninvasive nonsurgical interventions. Three guidelines did not include surgical treatments, and 2 guidelines did not include nonsurgical therapies. Recommendation criteria varied among guidelines due to differences in the intended audience. HLD can be treated with various modalities with specific therapies offering better pain relief. Despite inconsistency in the recommendation grades of most treatments, established surgical techniques and epidural injections were reported with higher confidence in recommendation estimates, while inadequate supporting evidence was shown for noninvasive therapies except cognitive behavioral therapy. Future studies could incorporate and comment on some of the newer methods of treating HLD.

摘要

针对腰椎间盘突出症(HLD)已开发出多种治疗方法,专业协会在制定提供HLD结构化治疗方法的临床指南时对这些方法进行了审查。本文旨在收集近期指南并总结其关于非手术和手术治疗选择的结论。在PubMed、科学网、Scopus、国际指南网络、将研究转化为实践数据库以及医学协会网站上搜索HLD的临床指南。纳入由专业协会以英文发表的与HLD相关的全文指南。根据所评估的治疗方法对指南进行比较,并记录指南提供的推荐等级。共纳入12项指南,其中4项由非美国或国际协会制定,3项由美国疼痛协会制定,2项由外科协会制定,2项由政府机构制定,1项由多学科医学协会制定。评估的治疗方法包括手术、侵入性非手术和非侵入性非手术干预。3项指南未包括手术治疗,2项指南未包括非手术治疗。由于目标受众不同,指南中的推荐标准也有所不同。HLD可用多种方式治疗,特定疗法能更好地缓解疼痛。尽管大多数治疗方法的推荐等级不一致,但已确立的手术技术和硬膜外注射在推荐估计中的可信度较高,而除认知行为疗法外的非侵入性疗法的支持证据不足。未来的研究可以纳入并评论一些治疗HLD的新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218f/12242731/27eddd555aba/ns-2550398-199f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218f/12242731/07efe56ea837/ns-2550398-199f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218f/12242731/b82cf1c968e6/ns-2550398-199f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218f/12242731/3bbaa891a45b/ns-2550398-199f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218f/12242731/27eddd555aba/ns-2550398-199f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218f/12242731/07efe56ea837/ns-2550398-199f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218f/12242731/b82cf1c968e6/ns-2550398-199f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218f/12242731/3bbaa891a45b/ns-2550398-199f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218f/12242731/27eddd555aba/ns-2550398-199f4.jpg

相似文献

[1]
A Systematic Review of Treatment Guidelines for Lumbar Disc Herniation.

Neurospine. 2025-6

[2]
Clinical guidelines and payer policies on fusion for the treatment of chronic low back pain.

Spine (Phila Pa 1976). 2011-10-1

[3]
[Volume and health outcomes: evidence from systematic reviews and from evaluation of Italian hospital data].

Epidemiol Prev. 2013

[4]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2021-4-19

[5]
Sexual Harassment and Prevention Training

2025-1

[6]
Health professionals' experience of teamwork education in acute hospital settings: a systematic review of qualitative literature.

JBI Database System Rev Implement Rep. 2016-4

[7]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2020-1-9

[8]
Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men.

Cochrane Database Syst Rev. 2008-7-16

[9]
A rapid and systematic review of the clinical effectiveness and cost-effectiveness of paclitaxel, docetaxel, gemcitabine and vinorelbine in non-small-cell lung cancer.

Health Technol Assess. 2001

[10]
Systemic treatments for metastatic cutaneous melanoma.

Cochrane Database Syst Rev. 2018-2-6

本文引用的文献

[1]
Regenerative therapies for lumbar degenerative disc diseases: a literature review.

Front Bioeng Biotechnol. 2024-8-26

[2]
Lumbar disc herniation with radiculopathy: a comparison of NASS guidelines and ChatGPT.

N Am Spine Soc J. 2024-6-1

[3]
Clinical Guidelines for the Evaluation and Treatment of Lumbar Disc Herniations: How Accurate is the Internet?

World Neurosurg. 2023-10

[4]
Lumbar Discectomy With Bone-Anchored Annular Closure Device in Patients With Large Annular Defects: One-Year Results.

Cureus. 2023-6-9

[5]
Lumbar Disc Herniation: Diagnosis and Management.

Am J Med. 2023-7

[6]
Cost consequence analysis of waiting for lumbar disc herniation surgery.

Sci Rep. 2023-3-18

[7]
The American Society of Pain and Neuroscience (ASPN) Evidence-Based Clinical Guideline of Interventional Treatments for Low Back Pain.

J Pain Res. 2022-12-6

[8]
Assessment of the strength of recommendation and quality of evidence: GRADE checklist. A descriptive study.

Sao Paulo Med J. 2022

[9]
Full endoscopic versus open discectomy for sciatica: randomised controlled non-inferiority trial.

BMJ. 2022-2-21

[10]
Prospective, randomized, multicenter study of intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: 24-Month treatment arm results.

N Am Spine Soc J. 2021-10-26

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索