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腰椎间盘突出症,也被认为是一种脊柱退行性疾病,是主要引起腰痛和腿痛的常见原因。 此疾病的发病原因通常来自腰椎间盘的退变,当纤维环部分或全部断裂时,髓核突出会刺激或压迫神经根,马尾神经,导致疼痛和其他症状。 当腰椎间盘的纤维环部分或全部断裂,髓核突出,压迫周围的神经、脊髓等结构时,就会引发腰部疼痛、下肢麻木、无力等一系列症状,这便是腰椎间盘突出症。 腰椎间盘突出症 (Lumbar Disc Herniation)是骨科常见疾病之一,近年来发病率呈年轻化趋势。 长期久坐、姿势不良、过度劳累等因素均可能诱发此病。 本文将从病因、高危姿势、预防措施、早期症状及治疗手段等角度全面解析,帮助读者科学应对这一“现代病”。
腰椎间盘突出是一个病理现象,当纤维环破裂时,髓核掉出来,就称为「椎间盘突出」;而当突出的椎间盘压迫到神经根,并出现腰部疼痛或下肢疼痛等临床表现时,称「腰椎间盘突出症」。 另外,尚有部分低位腰椎间盘突出症患者也可出现腹股沟区或大腿前内侧疼痛。 有腰3~4 椎间盘 突出者,有1/3的有腹股沟区或大腿前内侧疼痛。 腰椎间盘突出症——默沙东诊疗手册 (医学专业人士版)中的病因学、病理生理学、症状、体征、诊断和预后。
腰椎间盘突出症的治疗需依据病情个体化选择,无症状者无需特殊治疗仅需日常观察,有症状者优先尝试保守治疗(含牵引、热敷、理疗及遵医嘱使用非甾体抗炎药),若保守治疗3-6个月无效或症状加重(如肌肉无力、大小便障碍)则考虑手术(椎间盘髓核摘除.
腰椎间盘突出症的好发年龄在20~50岁;男女发病比例为(4~6)∶1。 患者往往具有经常弯腰劳动或长期久坐的习惯。 该病首发表现往往是在半弯腰持重或突然扭腰过程中发生。 95%左右的病变节段发生在腰4~5和腰5~骶1间隙。 腰椎间盘突出通常指腰椎间盘突出症,腰椎间盘突出症的症状和表现包括腰痛、下肢放射痛、下肢麻木、间歇性跛行等,建议引起重视,及时前往正规医院就诊,在专业医生的指导下进行治疗。 在临床上,超过40岁的人去拍个片子,基本上10个人当中有9个都有椎间盘的突出或膨出。
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