• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
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
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
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 @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

腰椎间盘突出症的自然吸收：病例说明

Spontaneous resorption of herniated lumbar discs: illustrative cases.

作者信息

Novak Milanka J, Jeffree Rosalind L

机构信息

Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.

Department of Neurosurgery, Alfred Hospital, Melbourne, Victoria, Australia.

出版信息

J Neurosurg Case Lessons. 2025 Jul 21;10(3). doi: 10.3171/CASE24873.

DOI:10.3171/CASE24873
PMID:40690801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12278955/
Abstract

BACKGROUND

It is well recognized that symptoms of lumbar disc herniation often improve with conservative management. It is less well understood that the disc herniation resolves over time.

OBSERVATIONS

The authors present several cases demonstrating the natural history of resolution of lumbar disc herniation. All cases also experienced symptomatic improvement of their radicular pain.

LESSONS

These findings provide radiological evidence of the pathophysiology behind symptom resolution with conservative management of lumbar disc herniation and provide support for conservative management of lumbar disc herniation. https://thejns.org/doi/10.3171/CASE24873.

摘要

背景

众所周知，腰椎间盘突出症的症状通常通过保守治疗会有所改善。而对于椎间盘突出症会随着时间推移而自行消退这一点，人们了解得较少。

观察结果

作者展示了几例病例，证明了腰椎间盘突出症自行消退的自然病程。所有病例的神经根性疼痛症状也都有改善。

经验教训

这些发现为腰椎间盘突出症保守治疗后症状缓解背后的病理生理学提供了影像学证据，并为腰椎间盘突出症的保守治疗提供了支持。https://thejns.org/doi/10.3171/CASE24873

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99f/12278955/2e7b4f1dd749/CASE24873_figure_3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99f/12278955/8db2a63e017e/CASE24873_figure_1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99f/12278955/1a77d8f72662/CASE24873_figure_2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99f/12278955/2e7b4f1dd749/CASE24873_figure_3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99f/12278955/8db2a63e017e/CASE24873_figure_1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99f/12278955/1a77d8f72662/CASE24873_figure_2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99f/12278955/2e7b4f1dd749/CASE24873_figure_3.jpg

相似文献

1
Spontaneous resorption of herniated lumbar discs: illustrative cases.腰椎间盘突出症的自然吸收：病例说明
J Neurosurg Case Lessons. 2025 Jul 21;10(3). doi: 10.3171/CASE24873.
2
Disc Herniation椎间盘突出
3
An updated review of automated percutaneous mechanical lumbar discectomy for the contained herniated lumbar disc.经皮机械腰椎间盘切除术治疗包容性腰椎间盘突出症的最新综述。
Pain Physician. 2013 Apr;16(2 Suppl):SE151-84.
4
The effectiveness of lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain.腰椎经椎间孔硬膜外注射治疗慢性下腰痛和下肢痛的效果。
Pain Physician. 2012 Jul-Aug;15(4):E363-404.
5
An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy.腰椎间盘突出症伴根性症状的诊断与治疗的循证临床指南。
Spine J. 2014 Jan;14(1):180-91. doi: 10.1016/j.spinee.2013.08.003. Epub 2013 Nov 14.
6
Neurological examination of the peripheral nervous system to diagnose lumbar spinal disc herniation with suspected radiculopathy: a systematic review and meta-analysis.神经系统检查对诊断伴有疑似神经根病的腰椎间盘突出症的周围神经系统：系统评价和荟萃分析。
Spine J. 2013 Jun;13(6):657-74. doi: 10.1016/j.spinee.2013.02.007. Epub 2013 Mar 15.
7
Endoscopic Interlaminar Standalone Decompression for Lumbar Lateral Recess Stenosis With Subligamentous Disc Herniation: A Disc-Preserving Alternative to Discectomy.内镜下单纯椎间孔减压治疗伴后纵韧带下椎间盘突出的腰椎侧隐窝狭窄症：一种保留椎间盘的椎间盘切除术替代方法
Orthop Surg. 2025 Jul;17(7):2093-2102. doi: 10.1111/os.70087. Epub 2025 May 31.
8
Do Epidural Injections Provide Short- and Long-term Relief for Lumbar Disc Herniation? A Systematic Review.硬膜外注射能否为腰椎间盘突出症提供短期和长期缓解？一项系统评价。
Clin Orthop Relat Res. 2015 Jun;473(6):1940-56. doi: 10.1007/s11999-014-3490-4.
9
An evidence-based review of the literature on the consequences of conservative versus aggressive discectomy for the treatment of primary disc herniation with radiculopathy.关于保守性椎间盘切除术与积极椎间盘切除术治疗原发性神经根型椎间盘突出症后果的文献循证综述。
Spine J. 2009 Mar;9(3):240-57. doi: 10.1016/j.spinee.2008.08.005. Epub 2008 Sep 21.
10
The probability of spontaneous regression of lumbar herniated disc: a systematic review.腰椎间盘突出症自然消退的概率：一项系统评价。
Clin Rehabil. 2015 Feb;29(2):184-95. doi: 10.1177/0269215514540919. Epub 2014 Jul 9.

本文引用的文献

1
Review of Recent Treatment Strategies for Lumbar Disc Herniation (LDH) Focusing on Nonsurgical and Regenerative Therapies.聚焦非手术及再生疗法的腰椎间盘突出症（LDH）近期治疗策略综述
J Clin Med. 2025 Feb 12;14(4):1196. doi: 10.3390/jcm14041196.
2
Prevalence, clinical predictors, and mechanisms of resorption in lumbar disc herniation: a systematic review.腰椎间盘突出症中吸收的患病率、临床预测因素及机制：一项系统评价
Orthop Rev (Pavia). 2024 Sep 21;16:121399. doi: 10.52965/001c.121399. eCollection 2024.
3
Prediction and Mechanisms of Spontaneous Resorption in Lumbar Disc Herniation: Narrative Review.
腰椎间盘突出症自发吸收的预测与机制：叙述性综述
Spine Surg Relat Res. 2023 Nov 2;8(3):235-242. doi: 10.22603/ssrr.2023-0152. eCollection 2024 May 27.
4
Lumbar Disc Herniation—the Significance of Symptom Duration for the Indication for Surgery.腰椎间盘突出症——症状持续时间对手术指征的意义。
Dtsch Arztebl Int. 2024 Jun 28;121(13):440-448. doi: 10.3238/arztebl.m2024.0074.
5
Role of surgery in primary lumbar disk herniation: WFNS spine committee recommendations.手术在原发性腰椎间盘突出症中的作用：世界神经外科联合会脊柱委员会建议
World Neurosurg X. 2024 Feb 23;22:100276. doi: 10.1016/j.wnsx.2024.100276. eCollection 2024 Apr.
6
Lumbar Disc Herniation: Diagnosis and Management.腰椎间盘突出症：诊断与管理。
Am J Med. 2023 Jul;136(7):645-651. doi: 10.1016/j.amjmed.2023.03.024. Epub 2023 Apr 17.
7
Resorption of Lumbar Disk Herniation: Mechanisms, Clinical Predictors, and Future Directions.腰椎间盘突出症的吸收：机制、临床预测因素及未来方向。
JBJS Rev. 2023 Jan 4;11(1). doi: e22.00148. eCollection 2023 Jan 1.
8
Herniated discs: when is surgery necessary?椎间盘突出：何时需要手术？
EFORT Open Rev. 2021 Jun 28;6(6):526-530. doi: 10.1302/2058-5241.6.210020. eCollection 2021 Jun.
9
Segmental Contributions to Lumbar Lordosis: A Computed Tomography Study.腰椎前凸的节段性贡献：一项计算机断层扫描研究。
Int J Spine Surg. 2020 Dec;14(6):949-955. doi: 10.14444/7144. Epub 2020 Dec 29.
10
Systematic Review of Outcomes Following 10-Year Mark of Spine Patient Outcomes Research Trial for Intervertebral Disc Herniation.脊柱椎间盘突出症患者结局研究试验 10 年标记后结局的系统评价。
Spine (Phila Pa 1976). 2020 Jun 15;45(12):825-831. doi: 10.1097/BRS.0000000000003400.