| 无症状腰椎间盘突出再认识 |
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Received:December 16, 2004
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| 作者 | Author | 单位 | Unit | E-Mail |
| 黄仕荣 |
HUANG Shi-rong |
上海中医药大学附属曙光医院骨伤科,上海200021 |
Department of Orthopaedics and Traumatology,the Affiliated Shuguang Hospital of Shanghai Traditional Chinese Medicine University,Shanghai,200021,China |
huangshirong3268@sina.com |
| 石印玉 |
SHI Yin-yu |
上海中医药大学附属曙光医院骨伤科,上海200021 |
Department of Orthopaedics and Traumatology,the Affiliated Shuguang Hospital of Shanghai Traditional Chinese Medicine University,Shanghai,200021,China |
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| 期刊信息：《中国骨伤》2005年18卷，第7期，第416-419页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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| 腰椎间盘突出症确切致痛机制尚未完全明了,脊神经根的机械性压迫被认为与疼痛和特定节段神经功能障碍有关,然而无症状腰椎间盘突出的现象对此提出不同的解释。该文对近年来有关无症状腰椎间盘突出的机制进行了系统的研究,认为其与椎间盘突出物可代偿的椎管储备容量、受累神经根对机械压迫的逃逸避让与弹性延长功能,以及受累神经根低氧消耗与抗缺血性损伤代偿作用等因素有关。这将深化对下腰痛的理解并有助于相关领域的继续研究。 |
| [关键词]:椎间盘移位 疼痛机制 椎管储备容量 |
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| Recognization on the asymptomatic lumbar intervertebral disc herniation |
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| Abstract:The exact pathophysiologic mechanisms of lumbar intervertebral disc herniation (LIDH) are incomplately known,however,mechanical compression of spinal nerve roots is known to be correlated to both pain and neural dysfunction of specific segmental nerve roots.This study was done to document newly the mechanisms of photographically asymptomatic lumbar intervertebral disc herniation (ALIDH) which give different idea to the traditional compression theory of LIDH.This paper strongly support the concept that mechanisms of ALIDH are associated with the following three aspects:spinal reserve capacity (SRC),escaping from mechanical compression of herniated disc and potential elastic lengthening function of revolved nerve roots,and their natural hypoxic consumption and anti-ischemic injury compensation mechanism as well.It is hoped that the described beatures of ALIDH may advance the understanding of certain of lower spine symptomatology and provide some basis for much needed future research. |
| KEYWORDS:Intervertebral disk displacement Pain mechanism Spinal reserve capacity |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 黄仕荣,石印玉.无症状腰椎间盘突出再认识[J].中国骨伤,2005,18(7):416~419 |
| 英文格式: | HUANG Shi-rong,SHI Yin-yu.Recognization on the asymptomatic lumbar intervertebral disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(7):416~419 |
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