Progress in the treatment of lumbar disc herniation.docVIP

 PAGE \* MERGEFORMAT 15 Progress in the treatment of lumbar disc herniation Lumbar disc herniation (lumbar disc herniation referred to as LDH), also known as the lumbar intervertebral disc nucleus herniation ruptured annulus fibrosus, is in the lumbar intervertebral disc degeneration occurs later, under the influence of external forces, so that annulus rupture prominent nucleus stimulation or repression nerve roots, blood vessels or spinal cord caused by organizations such as lower back pain and pain associated with sciatic radiation is characterized by symptoms such as a disease. Predilection of lumbar disc herniation over the age of 20 groups of all ages, especially young adults 20 to 45-year-old more common for men than women. A high incidence, but not yet see the exact coverage. Today, an increasing number of clinical treatment, but no more than surgery and non-surgical treatment of two major types [1]. This close to 5 years for the treatment of LDH simple method of literature are summarized below. 1, surgical treatment 1.1 conventional surgery. Lumbar disc excision is the treatment of lumbar disc herniation surgery classical model, which is the most widely used at home and abroad surgical. Including intervertebral fenestration discectomy, semi-laminectomy discectomy, laminectomy discectomy three kinds. After positive effect. Clinical practice shows that some patients after laminectomy, in the laminectomy defect formation of a large number of fibrous scar tissue or irregular new bone, and epidural or nerve root adhesion, resulting in secondary spinal canal stenosis. Dural sac or nerve root compression, so that recurrence of symptoms. According to statistics, within a wide range of spinal surgery due to adhesions caused by symptoms accounted for 6% to 8% [2]. 1.2 Minimally Invasive Surgery 1.2.1 Percutaneous lumbar disc decompression. Chemonucleolysis percutaneous treatment of lumbar disc herniation of such technology on behalf of [3], but also include