Treatment of one patient with lumbar disc herniation accompanied by paraplegic induced by freeing of nucleus pulposus to the dorsal part of dura membranous sac 髓核游离至硬膜囊背侧致截瘫的腰椎间盘突出症1例
Objective To observe the effects of ultrashort wave, medium frequency electrotherapy and infrared rays herb-pad therapy on lumbar disc hernia and study the change of material of herniation of nucleus pulposus. 目的观察腰椎间盘突出症经超短波、中频电和红外线中药外敷治疗后的临床疗效,及椎间盘突出物治疗前后的变化。
Analysis of diagnosis and therapy for herniation of intervertebral discs with the nucleus pulposus pressed into the epidural space or the sheath of nervous root 髓核突入硬膜囊内及神经根鞘内的腰椎间盘突出症的诊治
Conclusion The efficacy of APLD can be primarily predicted by analyzing carefully the angle of the lumbar disc herniation on the horizontal CT films and the central location of the herniated disc nucleus pulposus on the sagittal CT films. 结论通过对CT扫描水平面图像腰椎间盘突出角度、矢状面图像突出髓核中心位置的仔细分析能基本预测APLD的疗效。
Rupture of the posterior part of the fibrous anulus was seen in 3 cases, and herniation of nucleus pulposus in 4 cases. 16例中4例合并髓核脱出。
The type of herniation of nucleus pulposus as well as longer course and chronic convalescence had worse curative effect. 病理类型属于髓核脱出型及病程久、慢性恢复期者治疗效果较差。
Modern medical research shows that: low back pain caused by lumbar disc herniation of nucleus pulposus outstanding addition to mechanical compression, the nerve root and surrounding inflammatory change, is an important factor causing pain. 现代医学研究表明:腰椎间盘突出症引起的腰腿痛除髓核突出机械性压迫外,神经根及其周围的炎性改变,是引起疼痛的重要原因。
The density of nucleus pulposus herniation is higher than that of spinal dura mater and fat of epidural gap. The essence of soft tissue shadow of epidural gap is nucleus pulposus herniation. 突出的髓核密度高于硬脊膜囊和硬膜外脂肪的密度,硬膜外间隙中的软组织密度影代表突出的椎间盘组织。
Based on Disc degenerative diseases, it is caused by outer forces onto the annulus fibrosus of lumbar, which induces rupture of fibrous annulus of lumbar spine, herniation of the nucleus pulposus and Oppressive nerve root or spinal cord. 是在椎间盘退行性病变的基础上,受外力损伤而致腰椎间盘的纤维环破裂、髓核突出、压迫神经根或脊髓而产生的一种病症。