LFJOA源性慢性腰痛的研究进展

发布时间：2018-07-24 08:04

【摘要】：背景:腰椎小关节骨性关节炎(Lumbar facet joint osteoarthritis,LFJOA)是常见的腰椎退变性疾病,也是引起慢性腰痛的常见原因之一,尤其在老年人群中伴严重椎小关节退变更易引起下腰痛。然而,迄今为止椎小关节骨性关节炎(Facet joint osteoarthritis FJOA)比其他重要骨性关节炎(Osteoarthritis OA)得到的研究少得多,如膝关节骨性关节炎和其他脊柱病理解剖特性的疾病,如退行性椎间盘疾病。中国已经进入老龄化社会,LFJOA发病人口急剧上升,且随着经济的发展,人们追求更高的生活质量,然而至今关于LFJOA源性慢性腰痛的诊治尚存在诸多争议。目的:通过综述目前LFJOA引起慢性腰痛的诊疗方面的研究,从而为临床上更好的诊疗该病提供一些参考。方法:以“腰椎,椎小关节骨性关节炎或关节突关节炎,慢性腰痛”等关键词进行检索,找出LFJOA源性慢性腰痛的相关研究,并对其进行分析总结。结果与结论:目前有大量关于LFJOA的文献,综合这些研究结果表明:LFJOA是引起慢性腰痛的常见原因之一,但对其诊断尚无统一的标准,治疗方法也多种多样,一般通过保守治疗和介入治疗大多数患者都能取得相对满意的疗效,只有少数退变严重和有明显神经症状且合并脊椎其它退行性变(如椎管狭窄、腰椎不稳、椎间盘退变等)的患者可能考虑开放手术治疗。
[Abstract]:Background: (Lumbar facet joint osteoarthritis (LFJOA) is a common degenerative disease of lumbar vertebrae and one of the common causes of chronic low back pain. However, to date, (Facet joint osteoarthritis FJOA) has been much less studied than other important osteoarthritis (Osteoarthritis OA), such as knee osteoarthritis and other diseases with pathological and anatomical characteristics of the spine, such as degenerative disc disease. China has entered an aging society, the incidence of LFJOA population has risen sharply, and with the development of economy, people seek a higher quality of life. However, the diagnosis and treatment of chronic low back pain caused by LFJOA is still controversial. Objective: to provide some references for clinical diagnosis and treatment of chronic low back pain caused by LFJOA. Methods: the key words of "lumbar vertebrae, facet osteoarthritis or arthritic process arthritis, chronic low back pain" were searched to find out the related research of chronic low back pain caused by LFJOA, and to analyze and summarize them. Results & conclusion: there are a lot of literatures about LFJOA. The results show that the LFJOA is one of the common causes of chronic low back pain. Most patients can obtain relatively satisfactory results through conservative treatment and interventional therapy. Only a few patients with severe degeneration and obvious neurological symptoms and other degenerative changes of the spine (such as spinal canal stenosis, lumbar instability, etc.) Patients with disc degeneration, etc., may consider open surgery.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R681.5

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