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頁籤選單縮合
| 題 名 | Spontaneous Regression of Lumbar Disc Herniation with Adjacent Level Disc Herniation--A Case Presentation and Literatures Review=病例報告及文獻回顧:腰椎椎間盤突出的自發性消退伴隨鄰近節次椎間盤突出 |
|---|---|
| 作 者 | 張起榮; 蔡明達; | 書刊名 | 輔仁醫學期刊 |
| 卷 期 | 23:3 2025.09[民114.09] |
| 頁 次 | 頁33-39 |
| 分類號 | 416.616 |
| 關鍵詞 | 椎間盤突出; 自發性消退; 下背痛; 腰椎神經根病變; 鄰近節段病變; Herniated disc; Spontaneous regression; Low back pain; Lumbar radiculopathy; Adjacent segment disease; |
| 語 文 | 英文(English) |
| DOI | 10.53106/181020932025092303003 |
| 中文摘要 | 腰椎間盤突出是一種常見的疾病,但在無手術病史的情況下出現鄰近節段疾病(ASD)則較為罕見。我們旨在透過介紹一例36歲女性的案例來揭示自發性消退緩解但卻衍生出鄰近節段椎間盤突出的機率。她經歷了慢性腰痛以及隨後的雙下肢放射痛。最初她沒有接受手術介入。隨著症狀的改變,她再次回到門診。磁振造影(MRI)顯示,原腰椎間盤突出在沒有手術介入的情況下自發性緩解,但在上方鄰近節段出現新的椎間盤突出。腰椎間盤突出的自發性緩解並非罕見情況。對於沒有絕對手術適應症的患者,臨床上可以先嘗試保守治療。然而,目前對於無手術病史的患者出現ASD的研究非常有限,因此很難判斷該患者的情況是ASD還是單純獨立的椎間盤退化現象。 |
| 英文摘要 | Lumbar disc herniation is a common condition, but adjacent segment disease (ASD) without prior surgery is rare. We aimed to reveal the chance of spontaneous regression with adjacent level disc herniation by presenting a case of a 36-year-old woman who experiencing chronic low back pain and subsequent radiation pain in both lower extremities. She did not undergo surgical intervention at first. With different complaint, she returned to clinic. Magnetic resonance imaging (MRI) showed spontaneously regressed lumbar herniated disc and a newly developed disc herniation at upward adjacent level without surgical intervention. Regression of the lumbar disc herniation is not a rare condition. For patients that has no absolute indication to surgery, conservative treatment could be attempted first. However, limited research exists on ASD in patients without prior surgery, making it difficult to conclude whether this patient's condition is ASD or an unrelated disc degeneration event. |
本系統中英文摘要資訊取自各篇刊載內容。