[1]鞠少寒,赵家臻,路雨凯,等.腰椎间盘突出重吸收机制研究进展[J].中国中医骨伤科杂志,2025,33(12):92-96.[doi:10.20085/j.cnki.issn1005-0205.251217]
 JU Shaohan,ZHAO Jiazhen,LU Yukai,et al.Research Progress on Resorption Mechanism of Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(12):92-96.[doi:10.20085/j.cnki.issn1005-0205.251217]
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腰椎间盘突出重吸收机制研究进展()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年12期
页码:
92-96
栏目:
文献综述
出版日期:
2025-12-15

文章信息/Info

Title:
Research Progress on Resorption Mechanism of Lumbar Disc Herniation
文章编号:
1005-0205(2025)12-0092-05
作者:
鞠少寒1赵家臻1路雨凯1刘锦涛2△
1南京中医药大学(南京,210023)
2南京中医药大学附属苏州市中医医院
Author(s):
JU Shaohan1ZHAO Jiazhen1LU Yukai1LIU Jintaop>2△
1Nanjing University of Chinese Medicine,Nanjing 210023,China; 2Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Suzhou 215001,Jiangsu China.
关键词:
腰椎间盘突出 重吸收 淋巴回流 巨噬细胞 椎旁淋巴系统
Keywords:
lumbar disc herniation reabsorption lymphatic reflux macrophages paravertebral lymphatic system
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.251217
文献标志码:
A
摘要:
腰椎间盘突出症(LDH)是临床常见的脊柱退行性疾病。保守治疗仍是腰椎间盘突出症的主要干预方式,约66.66%接受保守治疗的患者可出现突出椎间盘组织的重吸收现象。关于这一重吸收机制,现有研究认为其涉及免疫调节与炎症反应、基质金属蛋白酶合成与降解失衡、新生血管形成等多环节的协同作用,其中巨噬细胞在上述多个机制中均发挥关键作用。最新研究进一步证实,椎旁淋巴系统参与了突出组织的重吸收及局部炎症消退过程。系统梳理了巨噬细胞的参与机制及淋巴回流在其中的作用,旨在为深入阐明椎间盘重吸收的病理生理机制提供参考,进而为优化腰椎间盘突出症的非手术治疗策略奠定理论基础。
Abstract:
Lumbar disc herniation(LDH)is a clinically common degenerative spinal disease.Currently,conservative treatment remains the primary intervention for LDH.Studies have shown that approximately 66.66% of patients undergoing conservative treatment may experience resorption of the herniated intervertebral disc tissue.Regarding the mechanism of this resorption,existing research suggests that it involves the synergistic effects of multiple factors,including immune regulation and inflammatory response,imbalance in matrix metalloproteinase synthesis and degradation,and neovascularization,with macrophages playing a pivotal role in these mechanisms.Recent research has further confirmed that the paraspinal lymphatic system is involved in the resorption of herniated tissue and the regression of local inflammation.This article systematically reviews the involvement mechanism of macrophages and the role of lymphatic drainage in this process,aiming to provide a reference for further elucidating the pathophysiological mechanism of intervertebral disc resorption and laying a theoretical foundation for optimizing non-surgical treatment strategies for LDH.

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(收稿日期:2025-07-24)

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(82374220)
江苏省中医药科技发展计划项目(MS2022080)
江苏省第三批中医药领军人才项目(苏中医科教〔2023〕9号)
江苏省自然科学基金面上项目(BK20241802)
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更新日期/Last Update: 2025-12-15