巨大腰椎间盘脱出射频热凝消融联合臭氧介入术后重吸收1例
摘要
<正>目前巨大型腰椎间盘脱出大多通过手术治疗,手术具有创伤大、风险高,破坏腰椎结构,远期可能会影响腰椎稳定性。射频热凝消融术具有创伤小,安全性高的特点,在临床应用广泛,大部分临床研究在其疗效上,很少报道其对间盘吸收作用,尤其是对较大间盘突出报道更少。本病例病人腰椎间盘突出巨大行射频热凝消融联合臭氧介入治疗术后1年出现间盘吸收现象,案例资料完整,国内外类似治疗报道罕见,现报道如下。1.临床资料
引文
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[7]何庆华.臭氧治疗与牵引治疗腰椎间盘突出症的比较.实用骨科杂志,2014,20(1):55~57.
[8]卢帆,樊宇超,梁琳,等.射频热凝联合臭氧消融治疗腰椎间盘突出症的Meta分析.中国疼痛医学杂志,2015,21(6):441~447.
[9]刘锦涛,姜宏,王拥军,等.大鼠破裂型椎间盘突出模型的建立及突出物重吸收机制的研究.中国骨伤,2010,23(5):370~372.
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[11]朱宇,刘锦涛,姜宏.益气活血方促进破裂型腰椎间盘突出重吸收的机制研究.中国中医骨伤科杂志,2015,23(9):1~4.
[2]Gezici AR,Ergün R.Spontaneous regression of a huge subligamentous extruded disc herniation:short report of an illustrative case.Acta Neurochir,2009,151(10):1299~1300
[3]Martinez JV,ASO J,Consoliniy R,et al.Spontaneous regression from intervertebral disc herniation.Propos of a series of 37 cases.Neurocirugia,2010,21(2):108~117.
[4]Rapan S,Gulan G,Lovric I,et al.Spontaneous regression of interver tebral disc herniation case reports.Coll Antropol,2011,35(1):211~215.
[5]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 Orthop Surg(Hong Kong),2001,9(1):1~7.
[6]史剑倩,章勇,张达颖,等.亚甲蓝注射联合靶点射频治疗盘源性腰痛的临床疗效研究.中国疼痛医学杂志,2015,21(10):791~793.
[7]何庆华.臭氧治疗与牵引治疗腰椎间盘突出症的比较.实用骨科杂志,2014,20(1):55~57.
[8]卢帆,樊宇超,梁琳,等.射频热凝联合臭氧消融治疗腰椎间盘突出症的Meta分析.中国疼痛医学杂志,2015,21(6):441~447.
[9]刘锦涛,姜宏,王拥军,等.大鼠破裂型椎间盘突出模型的建立及突出物重吸收机制的研究.中国骨伤,2010,23(5):370~372.
[10]Tsuru M,Nagata K,Ueno T,et al.Electron microscopic observation of established chondrocytes derived from human intervertebral disc hernia(KTN-1)and role of macrophages in spontaneous regression of degenerated tissues.Spine,2001,1(6):422~431.
[11]朱宇,刘锦涛,姜宏.益气活血方促进破裂型腰椎间盘突出重吸收的机制研究.中国中医骨伤科杂志,2015,23(9):1~4.