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IS SURGERY NECESSARY IN THE TREATMENT OF A DISC HERNIATION?
外科手术是否必要
As mentioned, treatment of a disc herniation usually begins with the steps listed above.
如上所述，椎间盘治疗通常根据上述方法展开。
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，如果出现严重的神经损伤，建议受伤后立刻对椎间盘突出进行外科治疗。
Symptoms on pain and sensory abnormalities usually do not require immediate intervention, but patients who have significant weakness,
痛觉和感觉失常通常不需要立即干预治疗，但如果患者出现明显的肌力减弱，
any evidence of cauda equina syndrome, or a rapidly progressing problem may require more prompt surgical treatment.
以及任何马尾综合征的表现，或者病情发展迅速，就需要立即手术治疗了。
Most often surgery is recommended if more conservative measures do not relieve your symptoms.
通常情况下，若保守治疗无法缓解症状，建议实施外科手术。
Surgery is performed to remove the herniated disc, and free up space around the compressed nerve.
通过手术迁移椎间盘突出点，释放压迫神经周边空间。
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.
根据椎间盘突出的位置和大小以及相关问题（比如椎管狭窄、关节炎等），手术可采用几种方法进行。
In very straightforward cases，endoscopic or microscopic excision of the herniated disc may be possible.
最简单的病例可以采用内镜切除或显微切除。
However, this is not always recommended, and in some cases, a more significant surgery may need to be performed.
但并不推荐，许多情况下，其它手术方案效果更佳。
There are now a variety of surgical approaches to treat disc herniation.
对于治疗椎间盘突出，我们有多种外科选择。
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.
每种手术都要因人而异，很大程度上还要考虑病变椎间盘的椎体状况。
Surgical options include microdiscectomy using small surgical instruments and open surgical repair ( either from a posterior or anterior approach).
包括微创椎间盘切除术，通过小型外科器械，进行外科修复（从后侧或前侧实施）。
Urgent operation can be necessary when cauda equine syndrome is present (described above).
若出现马尾综合征，需立即进行手术。
译文属可可英语原创，未经允许，不得转载。
