Lumbar disc herniation is a common disease, is one of the difficult problems in the Department of orthopedics physicians confused. Because the symptoms of low back pain can be recurrent, much of the life and work of patients. In recent years, along with the protrusion of the lumbar intervertebral disc research, in the pathogenicity of children. System, diagnostic and therapeutic methods are progressing. The cause, pay more attention to the research on the biomechanics of intervertebral disc, intervertebral disc degeneration and operation such as fusion, on the adjacent intervertebral disc negative, surface effect. In diagnostic imaging, CT, MRI improves the diagnostic positive rate, but must not be one-sided decision treatment according to the imaging results, must be combined with medical history, symptoms and signs were considered. In treatment, there are many methods, should remember, the vast majority of disc herniation by non operation therapy, especially the bed rest, the symptoms were relieved or disappeared gradually. Waist, massage, physical therapy and drug treatment, should be combined with bed rest. Epidural space block can alleviate the symptoms, but there is danger caused by epidural adhesion; percutaneous chemonucleolysis is now less. Minimally invasive operation has small trauma, quick recovery, does not affect the advantages of palm column stability, each 19 indications of various minimally invasive operation therapy were not lump together. The treatment method of operation is still important, each operation such as discectomy, interbody fusion devices, as well as the artificial disc replacement and so on, should be strictly grasping the indication of operation, must not be excessive treatment. At present, at home and abroad more and more emphasis on evidence-based medicine, new technology can become a real advance, need the test of practice, but also some continuous exploration, research. Taishan Medical University professor Lu Yulai has long been engaged in spine surgery in clinical practice and research, and achieved good results, to reflect the development and progress, he together with domestic counterparts, each set of long, completed the "lumbar disc herniation" a Book of the fully revised, Second Edition, it is very necessary and timely. In twenty-first Century, various kinds of high precision technology leading clinical today, edited closely with the new theory, new method for this disease, new technology, refer to domestic and foreign literature, the basic and clinical aspects in detail, and incorporate research findings and experience of the authors, such as the long period of practice, clinical research the lumbar traction effect, method, angle, weight, and puts forward some new ideas on lumbar traction mechanism; development of reform, some operation equipment, improved operation method. These results, all have very important application value in clinical practice. Most of the illustrations are accumulated over the years of X-ray, CT, MRI scan image, some line drawings is the author of his own design, therefore, independent innovation.
Based on the book in first version, added a lot of new data, comprehensively and systematically introduces the progress and clinical diagnosis and treatment of the basic research of lumbar disc herniation. Focuses on the spinal biomechanics, pathology, etiology, lumbar disc herniation, mechanism of lumbocrural pain, clinical manifestations, imaging, electrophysiological examination, diagnosis and differential diagnosis of non operation treatment, operation, treatment and minimally invasive treatment and rehabilitation and prevention. The novel content, focusing on practice, illustrations, writing fluency, readability is strong; reflects the progress in this field at home and abroad. For the Department of orthopedics, Department of rehabilitation medicine, sports medicine physicians refer to.
The first chapter second chapter third chapter waist, lumbar spine morphology of abdominal soft tissue in fourth chapter, fifth chapter of intervertebral disc disc morphology biochemistry sixth chapter spine and intervertebral disc biomechanical analysis of the seventh chapter of lumbar disc herniation of the etiology and pathology of the eighth chapter the incidence, inducement and lumbocrural pain mechanism the ninth chapter clinical manifestations of tenth chapter eleventh imaging examination chapter electrophysiological and other examination twelfth chapter thirteenth chapter fourteenth chapter diagnosis differential diagnosis of non operation therapy of minimally invasive treatment of fifteenth chapter sixteenth chapter seventeenth chapter operation therapy of lumbar disc excision complications and prevention of eighteenth chapter nineteenth chapter twentieth chapter rehabilitation prevention special types of lumbar disc herniation twenty-first chapter of prolapse of lumbar intervertebral disc disease related diseases
The book of theory with practice, adhere to the principle of clinical, focusing on practice, on the basis of theory is to enable the readers a more comprehensive, in-depth, clinical manifestation, systematic understanding of the disease treatment, rehabilitation and prevention methods. In the clinical aspects, discusses in detail the diagnosis and differential diagnosis and treatment methods, introduces the indication, contraindication and in practice how to make treatment plan, the selection of treatment method etc.. Provides the science, -A data and clinical experience for clinicians, it is practical. In the long river of history, human beings in order to get rid of pain distress, have made unremitting struggle. But by the time the level of science, understanding of lumbar disc herniation science, until the beginning of twentieth Century has just begun, targeted treatment in twentieth Century 30 years actually appears. The motherland medicine in lumbar disc herniation belong to bi disease, as early as 2700 BC, the late Neolithic age, began to massage by the original (before the Han Dynasty by rocker, rocker shaft said, after the Ming Dynasty called massage) treatment of diseases, including rheumatoid arthritis. The Shang Dynasty massage technique has been widely used and developed; the Yellow Emperor era (equivalent to the Longshan culture period) the healing tarsal has up line (massage) used in clinical, the Qin and the Han Dynasties Chinese classics "Huangdi Neijing" on rheumatism have multiple paper: "the waist for kidney Fu, turn shake not the kidneys, exhausted. ,, and points out that with massage, acupuncture treatment of rheumatism. Too element in the description: "the inside three pulse, a low back pain, can't cough, cough, muscle nasty. ,, "Su" "Lingshu. Bi on Zhou Bi" on limb pain of rheumatism, a deeper study of the people. The wind cold dampness three miscellaneous to, and also for bi." "Golden mirror of medicine. Climb the rope brick stacking method in the treatment of low back pain with bonesetting method". Han Cang Gong "case record" records: "the rain, Huang Zhu Qian Jian (see patients in the name of Beijing) home (warehouse) under the stone, figure, in effect, effect can not play (failed to lift), and pain in the lumbar spine, not prone, but not urine (PEE)." Cang Gong named "renal obstruction". Because the kidney waist (calf), division two, in kidney disease, pathogenesis is not, as a weakness, so that "renal obstruction". The above discussion and expression, and the incidence of lumbar disc herniationThe reason, characteristics, clinical symptoms are very similar, it is traditional Chinese medicine on this disease in some of the earliest records. Some still have guiding significance. In the west, first cases of traumatic sciatica was Jacob, according to "the Bible, Old Testament", male chastity before 1800, Jacob and an angel fighting, hurting, causing symptoms of sciatica. 460 BC 357 years, ancient Greek F Pokela di (Hippocrates) in the "disease" (Treaties of disease) is applied in word sciatica, pain in the gluteal sciatic, proposed, thigh and calf; and proposed the use of massage, traction for the treatment of lumbosacral pain. In the Mexico capital Mexico City National Museum of man, a special-shaped ceramic vase, a 200 BC a spine, high 50cm, vase shape accurately display the lumbar vertebral lamina, and,, facet. Vertebral clearance between the representatives of intervertebral disc wide. This may be the oldest human spinal description.
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