牵引压弹斜扳三步法治疗腰椎间盘突出症临床观察及机理分析  

The treatment of lumbar intervertebral disk hernia by traction, pressure-spring and pulling maneuver:Clinical observation and mechanism analysis

作　　者：张俊[1] 鲍铁周[1] 张春健[1] 毛书歌[1] 杨曜洲[1] 赵玛丽[1] 张红庆[1] 

机构地区：[1]河南省洛阳正骨医院正骨研究所

出　　处：《中医正骨》1995年第5期6-7,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：采用牵引、压弹、斜扳三步法治疗腰椎间盘突出症９４例．以自拟三期疗效标准评定，优良率达９４％。观察发现Ⅰ期疗效优者，Ⅱ、Ⅲ期疗效亦优；反之则差。因此，主张Ⅰ期疗效差者，应及时进行手术治疗，以免延误病情。分析认为该疗法的机理在于：①可拉宽椎间隙，增加椎管内容积；②可松解神经根粘连，使突出物还纳或位移；③可纠正脊柱后关节紊乱，恢复其正常的生理平衡；④可放松脊旁肌肉．改善受压组织的血液供应。Ninety-ffour cases of lumbar intervertebral disk hernia were treated by traction, pressure-spring and pulling maneuver with an excellent-good rate of 94%. From the cobservation it was found that the cases with excellent results in StageⅠ treatment obtained excellent results in Stage Ⅱ and Stage Ⅲ treatment as well;otherwise,they obtained poor reults. So timely surgical treatment should be recommended in case with poor srsults in Stage Ⅰtreatment to avoid delaying the treatment.The mechanism of this method includes: (1)pulling wide the intervertebral space and increasing the intraspinal canal volume;(2)releasing the nerve root adhesion to cause the hernia to return back and displace;(3)correcting the spinal posterior joint disorder and restoring the normal physiological balance;(4 )relaxing the paravertebral muscle and improvinng the blood supply to the compressed tissues.

关 键 词：椎间盘突出 中医正骨术 牵引 压弹 斜扳 

分 类 号：R681.530.5[医药卫生—骨科学]