中药保守治疗后椎间盘突出症的重吸收：一例报告
Reabsorption of intervertebral disc prolapse after conservative treatment with traditional Chinese medicine: A case report.
作者信息
Wang Cong-An, Zhao Hong-Fei, Ju Jing, Kong Li, Sun Cheng-Jiao, Zheng Yue-Kun, Zhang Feng, Hou Guang-Jian, Guo Chen-Chen, Cao Sheng-Nan, Wang Dan-Dan, Shi Bin
机构信息
Postdoctoral Mobile Station of Shandong University of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250014, Shandong Province, China.
Bone Biomechanics Engineering Laboratory of Shandong Province, Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250014, Shandong Province, China.
出版信息
World J Clin Cases. 2023 Apr 6;11(10):2308-2314. doi: 10.12998/wjcc.v11.i10.2308.
BACKGROUND
Conservative treatments have been reported to diminish or resolve clinical symptoms of lumbar intervertebral disc herniation (LIDH) within a few weeks.
CASE SUMMARY
Computed tomography and magnetic resonance imaging (MRI) of the lumbar region of a 25-year-old male diagnosed with LIDH showed prolapse of the L5/S2 disc. The disc extended 1.0 cm beyond the vertebral edge and hung along the posterior vertebral edge. The patient elected a conservative treatment regimen that included traditional Chinese medicine (TCM), acupuncture, and massage. During a follow-up period of more than 12 mo, good improvement in pain was reported without complications. MRI of the lumbar region after 12 mo showed obvious reabsorption of the herniation.
CONCLUSION
A conservative treatment regimen of TCM, acupuncture, and massage promoted reabsorption of a prolapsed disc.
背景
据报道，保守治疗可在几周内减轻或消除腰椎间盘突出症（LIDH）的临床症状。
病例摘要
一名25岁男性被诊断为LIDH，其腰椎的计算机断层扫描和磁共振成像（MRI）显示L5/S2椎间盘脱垂。椎间盘超出椎体边缘1.0厘米，并沿椎体后缘悬垂。患者选择了包括中药（TCM）、针灸和按摩在内的保守治疗方案。在超过12个月的随访期内，报告疼痛有明显改善，且无并发症。12个月后腰椎MRI显示突出明显吸收。
结论
中药、针灸和按摩的保守治疗方案促进了脱垂椎间盘的吸收。
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