摘要
神经根型颈椎病(Cervical spondylotic radiculopathy,CSR)是颈椎病中较为常见的一种类型,其发病机制复杂,治疗方法多样。该文旨在探讨基于“筋束骨”理论的针刀T型松解术在治疗CSR中的作用机制。针刀T型松解术治疗神经根型颈椎病的可能作用机制:针刀T型松解术通过对颈枕部肌肉组织、结缔组织的切割松解作用,恢复颈椎外源性平衡,减轻椎间盘、椎体所受异常应力,改善局部血液循环,并通过力学生物学信号通路调控椎间盘组织中相关促炎及炎性因子表达,从而延缓椎间盘退变,缓解椎间盘或骨赘对神经根的机械性压迫,改善神经功能,减轻疼痛和麻木等症状。同时,针刀治疗作为外源性刺激,激活自身免疫反应,进一步促进组织修复。该文还讨论了针刀T型松解术在临床应用中的安全性和有效性,并提出了未来研究方向。
Cervical spondylotic radiculopathy(CSR)is a common type of cervical spondylosis,with a complex pathogenesis and diverse treatment methods.This article aims to explore the mechanism of needle knife T-shaped release surgery based on the“tendons restraining bones”theory in the treatment of CSR.The author believes that the possible mechanism of needle knife T-type release surgery for treating CSR is that needle knife T-type release surgery restores external balance of the cervical spine,reduces abnormal stress on the intervertebral disc and vertebral body,improves local blood circulation and regulates the ex⁃pression of relevant pro-inflammatory and inflammatory factors in the intervertebral disc tissue through mechanobiological signa⁃ling pathways,thereby delaying intervertebral disc degeneration,relieving mechanical compression of nerve roots by intervertebral discs or osteophytes,improving the nerve function and alleviating the symptoms such as pain and numbness.Meanwhile,needle knife therapy serves as an exogenous stimulus to activate the autoimmune response and further promote tissue repair.This article also discussed the safety and effectiveness of needle knife T-shaped release surgery in clinical applications,and proposed future research directions.
作者
陈后煌
王德
林捷
符燕
胡朋
陈向穗
CHEN Houhuang;WANG De;LIN Jie;FU Yan;HU Peng;CHEN Xiangsui(Haikou Hospital,Xiangya Medical College,Central South University,Haikou 460108,Hainan,China;Hainan Provincial Hospital of Traditional Chinese Medicine,Haikou 460108,Hainan,China)
出处
《实用中医内科杂志》
2024年第12期129-131,共3页
Journal of Practical Traditional Chinese Internal Medicine
基金
海南省科学技术厅科研项目(820MS162)
海南省卫生健康行业科研项目(202220051417)。
关键词
神经根型颈椎病
针刀T型松解术
筋束骨
作用机制
cervical spondylotic radiculopathy
needle knife T-shaped release surgery
tendons restraining bones
mecha⁃nism of action
