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腰椎间盘突出症合并神经根病变的诊疗：NASS循证医学指南解读

2019-11-05 海南医学院学报.2019-11.

腰椎间盘突出

腰椎间盘突出症合并神经根病变（lumbar disc herniation with radiculopathy）是以腰痛和下肢放射痛为主要表现的临床常见疾病。2013 年北美脊柱协会（NASS）发布了新版腰椎间盘突出症合并神经根病变的临床指南，该指南通过对文献的系统评价和循证医学证据分析来确定不同的推荐强度，着重讨论在诊断和治疗中常见的问题，为提供最佳、有效的诊断及临床诊疗方案。本文在全面解读最

中文标题：

腰椎间盘突出症合并神经根病变的诊疗：NASS循证医学指南解读

发布机构：

发布日期：

2019-11-05

简要介绍：

腰椎间盘突出症合并神经根病变（lumbar disc herniation with radiculopathy）是以腰痛和下肢放射痛为主要表现的临床常见疾病。2013 年北美脊柱协会（NASS）发布了新版腰椎间盘突出症合并神经根病变的临床指南，该指南通过对文献的系统评价和循证医学证据分析来确定不同的推荐强度，着重讨论在诊断和治疗中常见的问题，为提供最佳、有效的诊断及临床诊疗方案。本文在全面解读最新版诊疗指南的基础上，结合我国临床实践，提出临床和研究建议。

作者：中国中医科学院望京医院 林承宇 张清 谢瑞 李凯明,中国中医科学院广安门医院 刘蔚翔 

拓展指南：与腰椎相关指南：

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    2022-02-03 ms5000001446164438

    棒棒好

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1189887, encodeId=5585118988e2e, content=棒棒好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f8b46475287, createdName=ms5000001446164438, createdTime=Thu Feb 03 12:48:04 CST 2022, time=2022-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1188078, encodeId=187a11880e8c3, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b9dc5153332, createdName=1469f0ffm04暂无昵称, createdTime=Tue Jan 25 17:46:55 CST 2022, time=2022-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1078363, encodeId=831c10e836389, content=非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/hZGpKXAvteWbg1PaXwxCy7vNghCiclSUoQe6hQhyyEnW3YHJJodDiaIib7zCDdoNNbicN5Dd5H0zgq4guJopgbhhhg/132, createdBy=c7f95272180, createdName=l00710071, createdTime=Thu Dec 09 10:00:41 CST 2021, time=2021-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1058256, encodeId=888f1058256f7, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200808/cbea0f67144e45da834f71673305d1c7/8c94f88ca9ed4d6bb6ebe7eaa1fa92d0.jpg, createdBy=4f162101088, createdName=爱吃小鱼的小徐, createdTime=Thu Oct 07 08:55:19 CST 2021, time=2021-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012276, encodeId=e32810122e634, content=很好很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210828/435f9d7592bf49ebb041a1449ae405f8/12c71e86e584482584d13c9e1387fe1d.jpg, createdBy=11775587490, createdName=baran5, createdTime=Sat Aug 28 11:58:27 CST 2021, time=2021-08-28, status=1, ipAttribution=)]
    2022-01-25 1469f0ffm04暂无昵称

    棒

    0

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    2021-12-09 l00710071

    非常有用

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1189887, encodeId=5585118988e2e, content=棒棒好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f8b46475287, createdName=ms5000001446164438, createdTime=Thu Feb 03 12:48:04 CST 2022, time=2022-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1188078, encodeId=187a11880e8c3, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b9dc5153332, createdName=1469f0ffm04暂无昵称, createdTime=Tue Jan 25 17:46:55 CST 2022, time=2022-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1078363, encodeId=831c10e836389, content=非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/hZGpKXAvteWbg1PaXwxCy7vNghCiclSUoQe6hQhyyEnW3YHJJodDiaIib7zCDdoNNbicN5Dd5H0zgq4guJopgbhhhg/132, createdBy=c7f95272180, createdName=l00710071, createdTime=Thu Dec 09 10:00:41 CST 2021, time=2021-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1058256, encodeId=888f1058256f7, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200808/cbea0f67144e45da834f71673305d1c7/8c94f88ca9ed4d6bb6ebe7eaa1fa92d0.jpg, createdBy=4f162101088, createdName=爱吃小鱼的小徐, createdTime=Thu Oct 07 08:55:19 CST 2021, time=2021-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012276, encodeId=e32810122e634, content=很好很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210828/435f9d7592bf49ebb041a1449ae405f8/12c71e86e584482584d13c9e1387fe1d.jpg, createdBy=11775587490, createdName=baran5, createdTime=Sat Aug 28 11:58:27 CST 2021, time=2021-08-28, status=1, ipAttribution=)]
    2021-10-07 爱吃小鱼的小徐

    学习了

    0

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    2021-08-28 baran5

    很好很好

    0

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