腰椎术后综合征的中西医诊疗现状及展望

Current situation and prospect of traditional Chinese medicine and western medicine in diagnosis and treatment of failed back surgery syndrome

  • 摘要: 腰椎术后综合征(FBSS)是腰椎间盘突出症、腰椎管狭窄症、腰椎滑脱症等腰椎疾病的术后常见并发症,治疗难度大、周期长,严重影响了患者术后满意度。目前,该病的治疗主要呈现出中西结合、阶梯化、个体化治疗的局面,难点在于如何准确选择翻修手术适应证与时机,较少破坏脊柱稳定性和有效改善症状,未来将呈现精准化、微创化、个体化以及多科协作治疗的趋势。作者对FBSS的背景及中西医诊疗现状进行综述,展望未来治疗方向,为临床治疗提供一定的参考。

     

    Abstract: As a common postoperative complication of lumbar diseases such as lumbar disc herniation, lumbar spinal stenosis and lumbar spondylolisthesis, failed back surgery syndrome(FBSS) seriously affects the postoperative satisfaction of patients due to its difficulty in treatment and long course. At present, the treatment mainly involves comprehensive treatment of traditional Chinese medicine and western medicine, individualized treatment and stepwise therapy. The difficulty lies in how to accurately select the indications and timing of revision surgery, minimizing the damage the spinal stability, and effectively improving the symptoms. In the future, there will be a trend towards precision, minimally invasive, individualized and multidisciplinary therapies. Combined with literature review, the authors summarized the background of FBSS and the status of diagnosis as well as treatment of traditional Chinese medicine and western medicine, and looked forward to the future treatment direction, so as to provide certain reference for clinical treatment of this disease.

     

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