評論
打印
IS SURGERY NECESSARY IN THE TREATMENT OF A DISC HERNIATION?
外科手術是否必要
As mentioned, treatment of a disc herniation usually begins with the steps listed above.
如上所述，椎間盤治療通常根據上述方法展開。
However, surgical treatment of a herniated disc may be recommended soon after the injury if there is a significant neurological deficit to your problem.
然而，如果出現嚴重的神經損傷，建議受傷后立刻對椎間盤突出進行外科治療。
Symptoms on pain and sensory abnormalities usually do not require immediate intervention, but patients who have significant weakness,
痛覺和感覺失常通常不需要立即干預治療，但如果患者出現明顯的肌力減弱，
any evidence of cauda equina syndrome, or a rapidly progressing problem may require more prompt surgical treatment.
以及任何馬尾綜合征的表現，或者病情發展迅速，就需要立即手術治療了。
Most often surgery is recommended if more conservative measures do not relieve your symptoms.
通常情況下，若保守治療無法緩解癥狀，建議實施外科手術。
Surgery is performed to remove the herniated disc, and free up space around the compressed nerve.
通過手術遷移椎間盤突出點，釋放壓迫神經周邊空間。
Depending on the size and location of the herniated disc, and associated problems (such as spinal stenosis, arthritis, etc. ) , the surgery can be done by several techniques.
根據椎間盤突出的位置和大小以及相關問題（比如椎管狹窄、關節炎等），手術可采用幾種方法進行。
In very straightforward cases，endoscopic or microscopic excision of the herniated disc may be possible.
最簡單的病例可以采用內鏡切除或顯微切除。
However, this is not always recommended, and in some cases, a more significant surgery may need to be performed.
但并不推薦，許多情況下，其它手術方案效果更佳。
There are now a variety of surgical approaches to treat disc herniation.
對于治療椎間盤突出，我們有多種外科選擇。
Each type of operation is customized to the individual situation and depends a great deal on the condition of the spine around the disc affected.
每種手術都要因人而異，很大程度上還要考慮病變椎間盤的椎體狀況。
Surgical options include microdiscectomy using small surgical instruments and open surgical repair ( either from a posterior or anterior approach).
包括微創椎間盤切除術，通過小型外科器械，進行外科修復（從后側或前側實施）。
Urgent operation can be necessary when cauda equine syndrome is present (described above).
若出現馬尾綜合征，需立即進行手術。
譯文屬可可英語原創，未經允許，不得轉載。
