With the acceleration of the aging process of our society, spinal degenerative diseases caused by intervertebral disc degeneration are increasing. "Lumbar intervertebral disc herniation disease" is a kind of degenerative disc disease and the most common disease in spinal surgery. However, most of the patients' friends do not know enough about lumbar intervertebral disc herniation, and they are confused or even blindly seek medical treatment during the treatment. In response to some common doubts among patients and friends, this issue of "Upstream-Health Theory" specially invited Professor Zhou Qiang, Director of the Bone and Trauma Center of the Third Affiliated Hospital of Chongqing Medical University and Director of Spine Surgery, for a comprehensive interpretation.
Interpretation 1: What is lumbar disc herniation? What is the difference between lumbar disc herniation and lumbar disc herniation?
Professor Zhou Qiang: Lumbar disc herniation is a group of symptoms related to herniated disc. It usually includes backache, low back pain, radiation pain or numbness in the lower extremities. In some serious cases, dysfunction or sexual dysfunction may occur.
Lumbar intervertebral disc herniation and lumbar intervertebral disc herniation, although the difference is a word, but the difference is a thousand miles. Lumbar disc herniation is generally only the conclusion shown by lumbar CT, lumbar MRI and other imaging examinations. Lumbar disc herniation is only when the lumbar disc herniation is serious and compresses the spinal nerve roots, causing radioactive numbness or pain in the corresponding innervated area. In short, lumbar disc herniation is only an imaging examination conclusion, not a disease; and lumbar disc herniation is a disease that must have corresponding symptoms, signs and positive imaging findings to be diagnosed.
Interpretation 2: Lumbar disc herniation, is it serious? Need further treatment?
Professor Zhou Qiang: I just said that only when the lumbar intervertebral disc is herniated to a certain extent, causing the corresponding spinal nerve roots to be compressed, resulting in the corresponding symptoms of backache, low back pain, radiation numbness or pain in the lower extremities, can we say that you have suffered from "lumbar disc herniation". At this time, the treatment plan is determined according to the severity of the specific disease. Therefore, do not "talk about discoloration" about lumbar disc herniation. Disc herniation that does not cause nerve root compression does not require emergency special treatment. However, it is necessary to protect the lumbar spine, such as avoiding or reducing lumbar load, avoiding sitting for a long time, and strengthening the lumbar back appropriately. Functional exercise of muscles.
Interpretation 3: Lumbar disc herniation, how to treat it?
Professor Zhou Qiang: More than 90% of lumbar disc herniation only needs conservative treatment. Conservative treatment includes multiple bed rest, avoiding bad posture or irritation (such as sitting and standing for a long time, bending over to work for a long time, weight bearing on the waist), reasonable Medication (anti-inflammatory and analgesics, etc.), reasonable physical therapy (such as lumbar traction, etc.). If conservative treatment fails to relieve symptoms, or if the relief of symptoms cannot satisfy normal life conditions, then surgical treatment may be required. At present, the clinical indication is that the regular conservative treatment is ineffective for 6 weeks, the symptoms cannot be relieved, which seriously affects the patient's life and work, and the imaging examination shows positive results, before surgery is considered. However, for patients with symptoms of cauda equina nerve damage after the onset, such as dysfunction and numbness around the anus, surgery should be recommended as soon as possible. Generally, the cauda equina nerve is severely damaged and it is difficult to recover. During surgical treatment, for young people and patients with well-preserved intervertebral disc structures, minimally invasive and non-fusion surgery techniques are recommended. For patients with huge disc herniation and lumbar instability, fusion and internal fixation are often used.
Interpretation 4: Is the risk of surgical treatment of lumbar disc herniation high? Will it be paralyzed or have any sequelae? Professor
Zhou Qiang: With the development and progress of medical technology and concepts, a large number of various spinal operations have been carried out in mature hospitals. The risk of lumbar disc herniation surgery is low, and most cases will not cause paralysis of patients due to surgery. Happening. On the contrary, if the disease is severe and the nerves are damaged for a long time, after the best treatment opportunity is delayed, there may be incomplete paralysis such as loss of limb muscle strength and sensory disturbance.
The Department of Spine Surgery of the Third Affiliated Hospital of Chongqing Medical University has rich experience in diagnosis and treatment of various spine diseases including lumbar disc herniation, and the level of diagnosis and treatment is domestically leading. Especially in the treatment of lumbar disc herniation with spinal non-fusion surgery technology, it has obvious characteristics. The number of cases in the world is the largest and the curative effect is more than 95%. Patients with lumbar disc herniation who underwent non-fusion surgery can resume their basic work and life within 1-2 weeks after surgery, and can retain satisfactory lumbar spine mobility, which can satisfy the general The appeal of friends with lumbar disc herniation, thank you all.
thisLecturer Doctor: Zhou Qiang
Personal profile: Chief Physician, Professor, Doctoral Supervisor, Doctor of Medicine, Member of the Communist Party of China, Director of the Bone and Trauma Center, and Director of Spine Surgery of the Third Affiliated Hospital of the National Medical University Under the tutelage of Professor Li Qihong, a famous orthopedic expert of the older generation in my country. He used to be Deputy Director of Orthopedics Department, Southwest Hospital of Third Military Medical University, Director of Spine Ward, Chief Physician, and Professor. Engaged in orthopedic clinical medicine, teaching, and scientific research for more than 30 years. He has successively trained 45 master and doctoral students, 3 post-doctoral fellows, and won 3 awards (5 person-times) from the PLA, Chongqing City and the school. Completed more than 20 projects; won more than 10 national, military, and municipal awards. "Eleventh Five-Year" advanced individual in scientific and technological work, won the third-class merit once, "teaching star" of the Third Military Medical University, "outstanding Communist Party member" of Southwest Hospital Published more than 100 papers, more than 50 SCI papers, with a cumulative impact factor of 134.95, participated in the compilation of 5 monographs, and authorized 15 invention patents. He currently serves as a member, standing committee member, core member, team leader, and deputy team leader of more than 20 important national and municipal societies including the Cervical Spine Working Group of the Orthopedics Branch of the Chinese Medical Doctor Association.
Specialty: Engaged in the clinical diagnosis and treatment of spinal surgery and related research work for more than 30 years, and has a deep knowledge in the diagnosis and treatment of complex and difficult injuries in spinal surgery. Mainly engaged in the diagnosis and surgery of cervical and lumbar degenerative diseases (cervical spondylosis, lumbar disc herniation, lumbar spondylolisthesis disease and spinal stenosis, etc.), spinal tuberculosis and infection, spinal deformity, spinal tumor , spinal cord trauma, etc. treatment. Especially in the treatment of cervical and lumbar degenerative diseases of the spine with non-fusion surgery technology, it is at the leading domestic and international advanced level, which can enable patients with cervical and lumbar spine injuries to have satisfactory cervical and lumbar spine function and good quality of life after surgery; in spinal tuberculosis Surgical treatment is at the international leading level, with a one-time operation cure rate exceeding 95%, especially for the diagnosis and treatment of complex and recurrent spinal tuberculosis.
Outpatient time: Tuesday morning and Thursday morning
Department link "
Spine Surgery, Bone and Trauma Center, Third Affiliated Hospital of Chongqing Medical University
Currently has 2 professors and 2 chief physicians, 2 associate professors and deputy chief physicians, and 6 attending doctors. There are 2 residents. There are 2 doctoral supervisors, 3 master supervisors, 6 doctors and 3 masters.
Currently, Spine Surgery can carry out minimally invasive and traditional surgical treatments for all spinal degenerative diseases, spinal trauma, spinal tuberculosis, spinal deformities and spinal tumors. Under the leadership of director Zhou Qiang, the academic leader, extensively carried out related diagnosis, treatment and research work of various spinal injuries, including degenerative spinal diseases (cervical spondylosis, spinal stenosis, intervertebral disc herniation, lumbar spondylolisthesis, etc.), spinal tuberculosis With infections, spinal deformities, spinal tumors, spinal cord trauma, etc., it has successfully carried out corresponding advanced surgical treatment techniques, reaching the domestic advanced level. With functional reconstruction surgical techniques for cervical and lumbar diseases, surgical treatment techniques for spinal tuberculosis, and minimally invasive non-fusion bone graft fixation techniques for thoracolumbar fractures, it has reached the leading domestic and international advanced level.
is equipped with Siemens 3D mobile C-arm X-ray machine, special carbon fiber operating bed for spine, intervertebral disc mirror, intervertebral foraminoscope, VISTA minimally invasive surgical channel, ultrasonic bone knife, high-speed drill and other advanced medical equipment.
Source: Upstream News Gathering upward forces
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