腰椎间盘突出重吸收1例

doi:10.20047/j.issn1673-7210.2022.29.42

Abstract
Figure/Table
References (34)
Related Citation (15)

Download: PDF (1206 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract With the progress of imaging technology, the phenomenon of lumbar disc herniation and reabsorption has been paid attention to by peers in the industry. Its clinical presentation is also different. At present, two different clinical manifestations of intervertebral discs at different lumbar levels in the same patient are rarely reported. The patient presented to the clinic because of recurrent low back pain and cold sensation in the left lower extremity. Imaging data showed that the L3-4 huge prolapse occurred significant reabsorption phenomenon, and the L4-5 protrusion calcified. After diagnosis of lumbar disc herniation, the patient was treated with Chinese medicine Spinal Ⅱ Prescription orally, and the symptoms were significantly improved. Through the analysis of this case, this paper reveals the influence of the shape of herniated intervertebral disc and its surrounding environment on the reabsorption, deepen the understanding of the diversity and complexity of the phenomenon of intervertebral disc reabsorption, and explore the effective treatment plan of traditional Chinese medicine conservative treatment for the possible reabsorption phenomenon in lumbar intervertebral disc herniation.

Key words： Lumbar disc herniation Resorption Conservative treatment

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHOU You1 FENG Minshan2 HAN Tao2 YUE Guang3 PAN Junjun4 ZHU Liguo2▲

Cite this article:

ZHOU You1 FENG Minshan2 HAN Tao2 YUE Guang3 PAN Junjun4 ZHU Liguo2▲. A case report of resorption of lumbar disc herniation[J]. 中国医药导报, 2022, 19(29): 181-184.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.29.42 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I29/181

[1] 姜宏，刘锦涛，俞鹏飞.腰椎间盘突出症-重吸收现象与诊疗研究[M].4版.南京：江苏凤凰科学技术出版社，2016：1-4.
[2] Guinto FC，Hashim H，Stumer M. CT demonstration of disk regression after conservative therapy [J]. AJNR，1984，5（5）：632-633.
[3] Amador AR，Mexía MA，Preciado J，et al. Natural history of lumbar disc hernias：Does gadolinium enhancement have any prognostic value? [J]. Radiología （Engl Ed），2013， 55（5）：398-407.
[4] Baky A，Emara M. Spontaneous Resorption of Intervertebral Disc Herniation：A Series of 7 Patients [J]. Egyptian Spine Journal，2016，17（1）：42-48.
[5] Orief T，Orz Y，Attia W，et al. Spontaneous Resorption of Sequestrated Intervertebral Disc Herniation [J]. World Neurosurg，2012，77（1）：146-152.
[6] 钱祥，姜宏，刘锦涛，等.腰椎间盘突出组织重吸收研究进展[J].临床骨科杂志，2011，14（4）：453-455.
[7] Ma Z，Yu P，Jiang H，et al. Conservative Treatment for Giant Lumbar Disc Herniation：Clinical Study in 409 Cases [J]. Pain Physician，2021，24（5）：E639-E648.
[8] Geiss A，Larsson K，Rydevik B，et al. Autoimmune Properties of Nucleus Pulposus：An Experimental Study in Pigs [J]. Spine，2007，32（2）：168-173.
[9] Habtemariam A，Virri J，Gr?觟nblad M，et al. Inflammatory cells in full-thickness anulus injury in pigs. An experimental disc herniation animal model [J]. Spine，1998，23（5）：524-529.
[10] Ohba T，Haro H. TWEAK and TSLP in disc degeneration and spontaneous hernia resorption [J]. JOR Spine，2020， 3（1）：e1068.
[11] Kato T，Haro H，Komori H，et al. Sequential dynamics of inflammatory cytokine，angiogenesis inducing factor and matrix degrading enzymes during spontaneous resorption of the herniated disc [J]. J Orthop Res，2004，22（4）：895-900.
[12] Tsarouhas A，Soufla G，Tsarouhas K，et al. Molecular profile of major growth factors in lumbar intervertebral disc herniation：Correlation with patient clinical and epidemiological characteristics [J]. Mol Med Rep，2017，15（4）：2195-2203.
[13] Minamide A，Hashizume H，Yoshida M，et al. Effects of basic fibroblast growth factor on spontaneous resorption of herniated intervertebral discs. An experimental study in the rabbit [J]. Spine，1999，24（10）：940-945.
[14] Tsarouhas A，Soufla G，Katonis P，et al. Transcript levels of major MMPs and ADAMTS-4 in relation to the clinicopathological profile of patients with lumbar disc herniation [J]. Eur Spine J，2011，20（5）：781-790.
[15] Ishino H，Sakonju I. Expression of metalloproteinases and their inhibitors in degenerated and extruded intervertebral disks in chondrodystrophic dogs [J]. J Vet Med Sci，2021，83（4）：637-642.
[16] Grang L，Gaudin P，Trocme C，et al. Intervertebral disk degeneration and herniation：the role of metalloproteinases and cytokines [J]. Joint Bone Spine，2001，68（6）：547-553.
[17] Minamide A，Tamaki T，Hashizume H，et al. Effects of steroid and lipopolysaccharide on spontaneous resorption of herniated intervertebral discs. An experimental study in the rabbit [J]. Spine，1998，23（8）：870-876.
[18] Roberts S，Evans H，Trivedi J，et al. Histology and pathology of the human intervertebral disc [J]. J Bone Joint Surg Am，2006，88（Suppl）2：10-14.
[19] 刁志君，姜宏，刘锦涛.细胞自噬对腰椎间盘突出后重吸收的意义[J].中国骨伤，2018，31（4）：386-390.
[20] 姜冬蕾，马跃文.腰椎间盘突出自发重吸收的研究进展[J].中国矫形外科杂志，2021，29（11）：1000-1003.
[21] 安军伟，张云飞，吴海波，等.腰椎间盘突出重吸收的作用机制及中医药研究进展[J].中医药临床杂志，2017， 29（10）：1599-1602.
[22] 姜宏，刘锦涛，惠礽华，等.黄芪对破裂型椎间盘突出重吸收动物模型的影响[J].中国骨伤，2009，22（3）：205-207.
[23] 马智佳，姜宏，俞鹏飞，等.消髓化核汤保守治疗130例巨大型腰椎间盘突出症的疗效分析[J].中国骨伤，2019，32（3）：239-243.
[24] 刁志君，姜宏，刘锦涛，等.益气活血方介导促炎因子促进破裂型腰椎间盘突出后重吸收的机制研究[J].中国中医骨伤科杂志，2019，27（5）：1-6.
[25] 还涵，王申，单华，等.针刺促进腰椎间盘突出物重吸收案[J].中国针灸，2019，39（3）：234-236.
[26] 葛恒清.针刀治疗对促进腰椎间盘突出后自然吸收现象的临床观察[J].世界中医药，2011，6（6）：506-507.
[27] 柳小林，范宇.手法治疗巨大型腰椎间盘突出症脱出髓核吸收3例[J].临床军医杂志，2015，43（2）：218-220.
[28] 庄明辉，于杰，冯敏山，等.浅析朱立国治疗脊柱退行性疾病常用中药药对[J].中华中医药杂志，2020，35（1）：219-221.
[29] 吴曦，段超，彭锐.电针深刺颈夹脊穴治疗单纯性颈椎曲度异常临床随机对照观察[J].针灸临床杂志，2015， 31（11）：49-51.
[30] 陈妙.针刺结合中药治疗腰椎间盘突出症临床观察[J].实用中医药杂志，2021，37（8）：1288-1289.
[31] 冯鸣，姜宏.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[J].中医正骨，2018，30（11）：53-56，63.
[32] Kawaguchi K，Harimaya K，Matsumoto Y，et al. Effect of cartilaginous endplates on extruded disc resorption in lumbar disc herniation [J]. PLoS One，2018，13（4）：e0195946.
[33] 徐增，孙斌，吴卉乔，等.椎间盘钙化研究进展[J].中国脊柱脊髓杂志，2019，29（10）：936-939.
[34] 夏姣，王一，杜万里，等.不同骨盆倾斜角与破裂型LDH髓核重吸收的相关性[J].青岛大学学报（医学版），2021， 57（6）：919-922.