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The Treatment Of The Proplapse Of Lumber Inter Vertebral Disc (LIDC)

Posted on:2005-04-03Degree:MasterType:Thesis
Country:ChinaCandidate:Z ZhangFull Text:PDF
GTID:2144360125450521Subject:Surgery
Abstract/Summary:PDF Full Text Request
Objective: The prolapse of lumber intervertebral disc (LIDP) is one of a hackneyed personal disease. For humans often action in perpendicularity. The intervertebral disc suffers from more pressure,furthermore,The waist is the hinge of the lumber So its suffers more damnification. Some datas show that the humans interbertebral disc begin degenerating after 15 years old and some others factors can make this more faster. The degernerating intervertebral disc is one of the major cause of LIDP . Its degenerating makes the nucleus pulposus suffers more damage, and the intervertebral disc fiberal loop rupturing .The extrude-disc oppressing the nerve around ,and then it causes the clinic sympotomes such as the lumbag and the lag pain .The LIDP can divise into four types on base of the clinic degree.The first bulging type: The major manifestion of this type is the flexibility of the intervertebral disc descending . The lenth turns attenuation ,expanding to peripheral regions. Its clinical manisfection is not distinctness.The second extruding type: this type is also on base of the intervertebral disc descending . the part of fibral loop damages and becomes weakness . the nucleus pulposus stands out from the weakness part by the pressure . The typical lumbag and leg pain is the major manifestion .The third ruputuring type: this type is on base of the extuding one The fibral loop ruptures entirely and the nucleus pulposus is bareness out of the fibral loop. The forth is dissosation type: In this type ,the nucleus pulposus come out from the weakness and even fall off into the vertebral canal.The key to treat the LIDP is to make the extruding nucleus pulpsus retracting.relieving tension of the nerve. The treatments of LIDP now has their own merit and flaw each. How to choose the best treatment of this disease is a virtually question that every orthopaedics must face . In our country , it is a high tendency to choose the operation as the principle method to treat the LIDP and it has caused more bad effect .The conservating-treatment is also confusion. So as our opinion,we can choose the conservation-tharaphy to treat LIDP as it is taken bad first. And the bulging and extruding types. The laser interventional therapy has its own merit such as its operation briefness and its less complication. So it is one of the good methods to treat LIDP. The ruputuring and the dissosation type are severely in clinic manifestion . So they need the operation.With the socical developing . The modern traffic and communication make the men depend on the matters more. Men often actiong in one posture in a long time. So it is more chance to suffer the LIDP. And the intervertebral disc desending more easier. The LIDP incidence increase every year, The demanding of methods to treat this disease is more intensity, how to find the better methods are our orthopaedics doctor magnitude assignment.
Keywords/Search Tags:The prolapse of lumber intervertebral disc, The traction, The laser interventional therapy, The intervertebral disc operation.
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