数理医药学杂志2024,Vol.37Issue(7) :534-542.DOI:10.12173/j.issn.1004-4337.202401171

腰椎黄韧带肥厚的病因学与发病机制研究现状

Status of etiology and pathogenesis of lumbar ligamentum flavum hypertrophy

毛建伟 鄢卫平 张维平 杨琛 李景周 强天明 段文帅
数理医药学杂志2024,Vol.37Issue(7) :534-542.DOI:10.12173/j.issn.1004-4337.202401171

腰椎黄韧带肥厚的病因学与发病机制研究现状

Status of etiology and pathogenesis of lumbar ligamentum flavum hypertrophy

毛建伟 1鄢卫平 2张维平 2杨琛 2李景周 2强天明 2段文帅1
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作者信息

  • 1. 甘肃中医药大学中医临床学院(兰州 730000)
  • 2. 甘肃省中医院脊柱骨四科(兰州 730050)
  • 折叠

摘要

黄韧带是椎管内维持脊柱结构稳定的重要支持韧带之一.腰椎黄韧带肥厚(ligamentum flavum hypertrophy,LFH)是由于年龄增长、肥胖、机械应力、炎症反应等导致黄韧带性质和结构发生改变的慢性病理过程.肥厚的黄韧带会压迫脊髓或神经根而产生腰痛或下肢疼痛麻木等一系列症状,是腰椎椎管狭窄的重要病因.关于LFH的发病病因和机制的文献报道较多,但缺少相应的总结与归纳.本文从病因学和病理机制的角度出发,查阅近5年腰椎LFH相关文献,探讨并总结归纳关于LFH的病因和机制,并阐述黄韧带纤维化及靶向分子干预LFH的研究近况.

Abstract

Ligamentum flavum is one of the important supporting ligaments in spinal canal to maintain the stability of spinal structure.Lumbar ligamentum flavum hypertrophy(LFH)is a chronic pathological process that changes the nature and structure of the ligamentum flavum due to aging,obesity,mechanical stress,inflammation and other reasons.The hypertrophic ligamentum flavum compresses the spinal cord or nerve roots and produces a series of symptoms,such as lower back pain or lower limb pain and numbness,which is an important cause of lumbar spinal stenosis.There are many reports on the etiology and mechanism of LFH,but there is a lack of corresponding summary and induction.From the perspective of etiology and pathological mechanism,this paper reviews the relevant literature about lumbar LFH in recent 5 years,discusses and summarizes the etiology and mechanism of LFH,and expounds the research status of LFH and targeted molecular intervention in LFH.

关键词

黄韧带肥厚/纤维化/病因学/发病机制

Key words

Ligamentum flavum hypertrophy/Fibrosis/Etiology/Pathogenesis

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基金项目

甘肃省中医药管理局科研课题(GZKG-2022-51)

出版年

2024
数理医药学杂志
武汉大学,中国工业与应用数学学会,医药数学专业委员会

数理医药学杂志

影响因子:0.479
ISSN:1004-4337
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