基于MRI上椎间盘突出程度预测腰椎间盘突出后重吸收的研究进展
|
摘要
腰椎间盘突出症患者未经手术治疗而发生的突出髓核消失或缩小的现象称为腰椎间盘突出后重吸收。MRI对软组织分辨率较高,能清晰显示突出髓核组织的形态、位置、信号特点及神经继发性改变,并可获得多层面、多角度图像。基于MRI显示的椎间盘突出程度预测腰椎间盘突出后重吸收的概率,对于确定治疗方案、判断预后具有重要意义。本文从基于MRI判定的腰椎间盘突出症患者后纵韧带是否破裂、突出物体积及突出物位移程度3个方面就预测腰椎间盘突出后重吸收的研究进展进行了综述。
引文
[1]俞振翰,姜宏,周红海.腰椎间盘突出后的重吸收研究进展[J].南京中医药大学学报,2012,28(4):397-400.
[2]GUINTO FC,HASHIM H,STUMER M.CT demonstration of disk regression after conservative therapy[J].AJNR Am JNeuroradiol,1984,5(5):632-633.
[3]姜宏,施杞,郑清波.腰椎间盘突出后的自然吸收及其临床意义[J].中华骨科杂志,1998,18(12):755-757.
[4]孙晨,孙志波,禹志宏,等.极外侧腰椎间盘突出症的诊断与治疗进展[J].中国骨与关节损伤杂志,2018,33(1):106-109.
[5]WONG DA,TRANSFELDT E.Macnab’s backache[M].4th ed.Philadelphia:Lippincott Williams&Wilkins,2006:78-90.
[6]刘锦涛,姜宏,徐坤林,等.非手术疗法对腰椎间盘突出后重吸收的影响(附30例分析)[J].中国骨与关节损伤杂志,2010,25(11):978-980.
[7]俞鹏飞,姜宏,刘锦涛.消髓化核汤对腰椎间盘突出后重吸收影响的临床研究[J].长春中医药大学学报,2012,28(2):221-223.
[8]KESKIL S,AYBERK G,EVLIYAOGˇLU C,et al.Spontaneous resolution of“protruded”lumbar discs[J].Minim Invasive Neurosurg,2004,47(4):226-229.
[9]渡部徹,菊地臣一,古川浩三郎.腰椎椎間板ヘルニア保存療法の長期成績[J].整形外科,1997,48(4):128-138.
[10]TAKADA E,TAKAHASHI M,SHIMADA K.Natural history of lumbar disc hernia with radicular leg pain:Spontaneous MRI changes of the herniated mass and correlation with clinical outcome[J].J Orthop Surg(Hong Kong),2001,9(1):1-7.
[11]AHN SH,AHN MW,BYUN WM.Effect of the transligamentous extension of lumbar disc herniations on their regression and the clinical outcome of sciatica[J].Spine(Phila Pa 1976),2000,25(4):475-480.
[12]WOOD KB,BLAIR JM,AEPPLE DM,et al.The natural history of asymptomatic thoracic disc herniations[J].Spine,1997,22(5):525-529.
[13]富田庄司,古府照男,阪元正郎,等.腰椎椎間板ヘルニアにおけるMRI画像の検討:保存療法例と手術療法例の比較[J].整形外科,1997,48(10):1323-1325.
[14]AUTIO RA,KARPPINEN J,NIINIMKI J,et al.Determinants of spontaneous resorption of intervertebral disc herniations[J].Spine(Phila Pa 1976),2006,31(11):1247-1252.
[15]YU PF,JIANG FD,LIU JT,et al.Outcomes of conservative treatment for ruptured lumbar disc herniation[J].Acta Orthop Belg,2013,79(6):726-730.
[16]YU PF,JIANG H,LIU JT,et al.Traditional Chinese medicine treatment for ruptured lumbar disc herniation:clinical observations in 102 cases[J].Orthop Surg,2014,6(3):229-235.
[17]俞鹏飞,姜宏,刘锦涛.破裂型腰椎间盘突出症非手术治疗后的转归[J].中国脊柱脊髓杂志,2015,25(2):109-114.
[18]LE MAITRE CL,FREEMONT AJ,HOYLAND JA.Localization of degradative enzymes and their inhibitors in the degenerate human intervertebral disc[J].J Pathol,2004,204(1):47-54.
[19]陈其昕,刘耀升,李方财,等.游离型腰椎间盘突出的组织学观察[J].中华骨科杂志,2006,26(8):539-543.
[20]HENMI T,SAIRYO K,NAKANO S,et al.Natural history of extruded lumbar intervertebral disc herniation[J].Journal of Medical Investigation Jmi,2002,49(1-2):40-43.
[21]小森博達,山浦.MRI画像における腰椎椎間板ヘルニアの自然経過[J].臨整外,1994,29(4):457-463.
[22]HARO H,KOMORI H,KATO T,et al.Experimental studies on the effects of recombinant human matrix metalloproteinases on herniated disc tissues--how to facilitate the natural resorption process of herniated discs[J].J Orthop Res,2005,23(2):412-419.
[23]俞鹏飞.消髓化核汤干预下破裂型腰椎间盘突出症的转归预测[D].南京:南京中医药大学,2018.
[24]KOMORI H,SHINOMIYA K,NAKAI O,et al.The natural history of herniated nucleus pulposus with radiculopathy[J].Spine(Phila Pa 1976),1996,21(2):225-229.
[25]IWABUCHI M,MURAKAMI K,ARA F,et al.The predictive factors for the resorption of a lumbar disc herniation on plain MRI[J].Fukushima Journal of Medical Science,2010,56(2):91-97.
[26]MYSLIWIEC LW,CHOLEWICKI J,WINKELPLECK MD,et al.MSU Classification for herniated lumbar discs on MRI:toward developing objective criteria for surgical selection[J].European Spine Journal,2010,19(7):1087-1093.
[27]胡有谷,吕成昱,陈伯华.腰椎间盘突出症的区域定位[J].中华骨科杂志,1998,18(1):14.
[28]MOCHIDA K,KOMORI H,OKAWA A,et al.Regression of cervical disc herniation observed on magnetic resonance images[J].Spine(Phila Pa 1976),1998,23(9):990-995.
[29]PELTIER E,BLONDEL B,DUFOUR H,et al.Minimally invasive transmuscular approach for the treatment of lumbar herniated disc:far lateral lumbar disc herniation:a clinical study.Applications for cervical and thoracic disc herniation[J].J Neurosurg Sci,2013,57(2):123-127.
[2]GUINTO FC,HASHIM H,STUMER M.CT demonstration of disk regression after conservative therapy[J].AJNR Am JNeuroradiol,1984,5(5):632-633.
[3]姜宏,施杞,郑清波.腰椎间盘突出后的自然吸收及其临床意义[J].中华骨科杂志,1998,18(12):755-757.
[4]孙晨,孙志波,禹志宏,等.极外侧腰椎间盘突出症的诊断与治疗进展[J].中国骨与关节损伤杂志,2018,33(1):106-109.
[5]WONG DA,TRANSFELDT E.Macnab’s backache[M].4th ed.Philadelphia:Lippincott Williams&Wilkins,2006:78-90.
[6]刘锦涛,姜宏,徐坤林,等.非手术疗法对腰椎间盘突出后重吸收的影响(附30例分析)[J].中国骨与关节损伤杂志,2010,25(11):978-980.
[7]俞鹏飞,姜宏,刘锦涛.消髓化核汤对腰椎间盘突出后重吸收影响的临床研究[J].长春中医药大学学报,2012,28(2):221-223.
[8]KESKIL S,AYBERK G,EVLIYAOGˇLU C,et al.Spontaneous resolution of“protruded”lumbar discs[J].Minim Invasive Neurosurg,2004,47(4):226-229.
[9]渡部徹,菊地臣一,古川浩三郎.腰椎椎間板ヘルニア保存療法の長期成績[J].整形外科,1997,48(4):128-138.
[10]TAKADA E,TAKAHASHI M,SHIMADA K.Natural history of lumbar disc hernia with radicular leg pain:Spontaneous MRI changes of the herniated mass and correlation with clinical outcome[J].J Orthop Surg(Hong Kong),2001,9(1):1-7.
[11]AHN SH,AHN MW,BYUN WM.Effect of the transligamentous extension of lumbar disc herniations on their regression and the clinical outcome of sciatica[J].Spine(Phila Pa 1976),2000,25(4):475-480.
[12]WOOD KB,BLAIR JM,AEPPLE DM,et al.The natural history of asymptomatic thoracic disc herniations[J].Spine,1997,22(5):525-529.
[13]富田庄司,古府照男,阪元正郎,等.腰椎椎間板ヘルニアにおけるMRI画像の検討:保存療法例と手術療法例の比較[J].整形外科,1997,48(10):1323-1325.
[14]AUTIO RA,KARPPINEN J,NIINIMKI J,et al.Determinants of spontaneous resorption of intervertebral disc herniations[J].Spine(Phila Pa 1976),2006,31(11):1247-1252.
[15]YU PF,JIANG FD,LIU JT,et al.Outcomes of conservative treatment for ruptured lumbar disc herniation[J].Acta Orthop Belg,2013,79(6):726-730.
[16]YU PF,JIANG H,LIU JT,et al.Traditional Chinese medicine treatment for ruptured lumbar disc herniation:clinical observations in 102 cases[J].Orthop Surg,2014,6(3):229-235.
[17]俞鹏飞,姜宏,刘锦涛.破裂型腰椎间盘突出症非手术治疗后的转归[J].中国脊柱脊髓杂志,2015,25(2):109-114.
[18]LE MAITRE CL,FREEMONT AJ,HOYLAND JA.Localization of degradative enzymes and their inhibitors in the degenerate human intervertebral disc[J].J Pathol,2004,204(1):47-54.
[19]陈其昕,刘耀升,李方财,等.游离型腰椎间盘突出的组织学观察[J].中华骨科杂志,2006,26(8):539-543.
[20]HENMI T,SAIRYO K,NAKANO S,et al.Natural history of extruded lumbar intervertebral disc herniation[J].Journal of Medical Investigation Jmi,2002,49(1-2):40-43.
[21]小森博達,山浦.MRI画像における腰椎椎間板ヘルニアの自然経過[J].臨整外,1994,29(4):457-463.
[22]HARO H,KOMORI H,KATO T,et al.Experimental studies on the effects of recombinant human matrix metalloproteinases on herniated disc tissues--how to facilitate the natural resorption process of herniated discs[J].J Orthop Res,2005,23(2):412-419.
[23]俞鹏飞.消髓化核汤干预下破裂型腰椎间盘突出症的转归预测[D].南京:南京中医药大学,2018.
[24]KOMORI H,SHINOMIYA K,NAKAI O,et al.The natural history of herniated nucleus pulposus with radiculopathy[J].Spine(Phila Pa 1976),1996,21(2):225-229.
[25]IWABUCHI M,MURAKAMI K,ARA F,et al.The predictive factors for the resorption of a lumbar disc herniation on plain MRI[J].Fukushima Journal of Medical Science,2010,56(2):91-97.
[26]MYSLIWIEC LW,CHOLEWICKI J,WINKELPLECK MD,et al.MSU Classification for herniated lumbar discs on MRI:toward developing objective criteria for surgical selection[J].European Spine Journal,2010,19(7):1087-1093.
[27]胡有谷,吕成昱,陈伯华.腰椎间盘突出症的区域定位[J].中华骨科杂志,1998,18(1):14.
[28]MOCHIDA K,KOMORI H,OKAWA A,et al.Regression of cervical disc herniation observed on magnetic resonance images[J].Spine(Phila Pa 1976),1998,23(9):990-995.
[29]PELTIER E,BLONDEL B,DUFOUR H,et al.Minimally invasive transmuscular approach for the treatment of lumbar herniated disc:far lateral lumbar disc herniation:a clinical study.Applications for cervical and thoracic disc herniation[J].J Neurosurg Sci,2013,57(2):123-127.