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- 2009-9-19
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美国在下腰痛的介入和手术治疗方面的现状，有兴趣的可以看看，应该可以发现一些有用的信息。
For persistent and disabling radiculopathy due to herniated lumbar disc, standard open discectomy and microdiscectomy are associated with moderate short-term (through 6 to 12 weeks) benefits compared to nonsurgical therapy, though differences in outcomes in some trials are diminished or no longer present after 1 to 2 years. In addition, patients tend to improve substantially either with or without discectomy, and continued nonsurgical therapy in patients who have had symptoms for at least 6 weeks does not appear to increase risk for cauda equina syndrome or paralysis.
对于由于腰椎间盘突出引起的持续性和致残性神经根病变，于非手术治疗相比，标准开放式椎间盘切除术和微创椎间盘切除术在中等短期（到6至12周）具有优势，但是在1-2年后一些试验表明这种优势降低或不存在。另外，无论采取手术与否，病人趋向于好转，对于有6周以上症状的病人，后续的非手术治疗似乎不会增加马尾神经综合征或瘫痪的危险。
三篇spine论文的下载地址：
http://d.namipan.com/d/ddaa7191e705ce0bf7ff7eacff61c1a90810430ceca60700
http://d.namipan.com/d/40ee187285ec27e10070e055d9be5f871086e85b25830d00
http://d.namipan.com/d/08705a3c91d1b23e9c0e9812d270eba365b8398b791f0c00
[ 本帖最后由 步步高 于 2010-1-10 21:33 编辑 ] |
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