硬膜成形术:材料和技术综述

A. Kravtsova, V. Pyatikop, Y. Sergiyenko
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引用次数: 0

摘要

介绍。椎间盘退行性疾病是肌肉骨骼系统最常见的疾病之一,其特征是椎间盘及其邻近椎体的营养不良改变。这种疾病的主要症状是疼痛、感觉和运动障碍,根据不同作者的说法,50-80%的成年人会出现这种症状。该研究的主要目的是根据患者的年龄找到并实施退变性椎间盘疾病的最佳治疗措施。材料与方法。对2019-2020年苏梅地区临床医院神经外科住院患者的病历进行分析。对93例患者(男61例,女32例)的治疗过程进行了研究。患者按年龄分组:年轻(25岁以下)-男性13名,女性8名;中年(60岁以下)——男性24人,女性19人;老年人(60岁以上)——18名男性和11名女性。综合应用病理合理的物理治疗措施治疗复杂的疾病正获得越来越多的关注。它们的显著特点是生理性、无过敏表现、能够影响疾病的大部分发病机制,并能与其他治疗因素有机结合。不幸的是,暂时丧失行为能力和病程进展的发生率有所增加,这往往导致残疾,并与昂贵的现代诊断、治疗方法和进一步为患者提供就业机会相关的重大经济成本。我们的研究结果表明,包括致病药物治疗、复杂的椎旁阻滞、治疗性体育锻炼和物理疗法在内的综合治疗方法,无论营养不良和退行性改变的严重程度和患者的年龄,都能充分恢复脊柱功能。退变性椎间盘疾病的治疗应全面,针对病理过程的各种症状和环节。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DUROPLASTY: REVIEW OF MATERIALS AND TECHNIQUES
Introduction. Degenerative disc disease is one of the most common diseases of the musculoskeletal system, characterized by dystrophic changes in the intervertebral disc and vertebral bodies adjacent to it. The main symptoms of this disease are pain and sensory and motor disorders, which, according to various authors, occur in 50–80% of adults. The main objective of the study was to find and implement the optimal set of treatment measures for degenerative disc disease depending on the age of a patient. Materials and Methods. The medical records of inpatients who were treated in the Neurosurgical Department of the Sumy Regional Clinical Hospital in 2019–2020 were analyzed. The course of treatment of 93 patients (61 men and 32 women) was studied. The patients were divided into groups according to their age: young age (under 25) – 13 men and 8 women; middle age (under 60) – 24 men and 19 women; and elderly age (over 60 years) – 18 men and 11 women. The combined use of pathogenetically justified physiotherapeutic measures in the treatment complex is gaining more and more interest. Their distinctive features are physiologic nature, absence of allergic manifestations, the ability to influence most of the pathogenesis of the disease, and the organic combination with other therapeutic factors. Unfortunately, there is an increase in the incidence of temporary incapacitation and progressive course, which often leads to disability and significant financial costs associated with expensive modern methods of diagnosis, treatment, and further provision of employment to patients. The results of our study show that complex treatment including pathogenetic drug therapy, complex paravertebral block, therapeutic physical exercise, and physiotherapy treatment methods provides adequate recovery of spinal function regardless of dystrophic and degenerative changes severity and patient's age. Treatment of degenerative disc disease should be comprehensive and directed at the various symptoms and links of the pathological process.
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