整脊调曲复位法治疗腰椎滑脱症——121例疗效报告  

The spinal orthopedics therapeutics for treating lumbar spondylolisthesis by adjusting lumbar curvature and reposition --The clinical effects report of 121 cases

作　　者：潘东华[1] 韦以宗[1] 王秀光[1] 田新宇[2] 韦春德[1] 高腾[1] 张姗[1] 

机构地区：[1]北京光明骨伤医院,北京102200 [2]河南中医学院,郑州450008

出　　处：《世界中医骨科杂志》2009年第2期27-31,共5页World Journal of Traditional Chinese Orthoprdics

摘　　要：目的：探讨以整脊调曲复位法为主治疗腰椎滑脱症的临床疗效。方法：运用四维悬吊牵引腰椎，以调腰曲为主的整脊综合疗法治疗，对滑脱复位，系统观察腰椎滑脱症121例，并进行随访。结果：复位总有效率98．35％，其中以复位效果和症状体征为疗效标准的治愈率74．38％，临床治愈率91．74％。平均30个月随访优良率88．99％。结论：导致腰椎滑脱的主要原因是腰椎力学紊乱，通过整脊调曲恢复或改善生理曲度，滑脱可以复位，如能坚持功能锻炼，可有效控制复发。Objective： To study the clinical effects of using a form of the spinal orthopedics therapeutics which have played the major pole in treating lumbar spondylolisthesis by adjusting lumbar curvature and reposition. Using a synthesized form of the spinal orthopedics therapeutics which have played the major pole in treating lumbar spondylolisthesis by adjusting lumbar curvature and reposition with 4 ways suspension pulling and to observe the clinical effects of 121 cases systematically, and to follow-up them. Results： Total effective rate of the reposition was 98.35 %, cured rate of the effect standard in the reposition result and symptoms and sign was 74.38% among them, the clinical cured rate was 91.74%, follow-up ranged 30 months fine rate was 88.99%. Conclusion： The main reason of the lumbar spondylolisthesis is the spinal disorders resulting from the unbalance of the lumbar vertebra mechanics, lumbar spondylolisthesis can be repositioned by using the spinal orthopedics therapeutics with adjusting the spinal curvature or improving the physiological curvature.the relapse can be controled by that the proper therapeutic exercises is the reliable step of the stand up the efficacy.

关 键 词：腰椎滑脱症 四维悬吊牵引法 调曲复位法 整脊 

分 类 号：R681.5[医药卫生—骨科学] R274.915.3[医药卫生—外科学]