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能被吸收 吸收式身体的自然反应
1）6－12个月之后 50%的病人的突出减少了70%
2）Saal一项研究表明 90% 可以保守治疗康复
3）越大的突出 和 腰间盘碎片更容易被吸收
Yes, resorption of the extruded herniated disc fragments is part of the natural history of disc injury.
1) Follow up MRI 6-12 months after initial injury demonstrates about 50% of patients see about 70% decrease in size of extruded material. (Fagerlund, 1990, Maigne, 1992, Bush, 1992; Jensen, 1996; Autio, 2006; Monument 2011)
2) In a retrospective cohort study, Saal and Saal demonstrated that lumbar disc herniation with radiculopathy can be successfully treated nonoperatively, with nonoperative treatment resulting in “good to excellent” outcomes for approximately 90% of patients. (Saal, 1996)
MRI findings lag behind improvement of leg symptoms (Ito, 1996)
3) Larger extrusions and sequestrations are more likely to resorb. (Maigne 1992, Bush 1992, Jensen 1996)
下面是楼主的观点
手术会不可以避免拿掉一部分骨头和 黄韧带，破坏脊柱的稳定性，从长期来看做过手术不会恢复的和没做手术一样。
Yes, resorption of the extruded herniated disc fragments is part of the natural history of disc injury.
1) Follow up MRI 6-12 months after initial injury demonstrates about 50% of patients see about 70% decrease in size of extruded material. (Fagerlund, 1990, Maigne, 1992, Bush, 1992; Jensen, 1996; Autio, 2006; Monument 2011)
2) In a retrospective cohort study, Saal and Saal demonstrated that lumbar disc herniation with radiculopathy can be successfully treated nonoperatively, with nonoperative treatment resulting in “good to excellent” outcomes for approximately 90% of patients. (Saal, 1996)
MRI findings lag behind improvement of leg symptoms (Ito, 1996)
3) Larger extrusions and sequestrations are more likely to resorb. (Maigne 1992, Bush 1992, Jensen 1996) |
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