腰椎假性滑脱症牵引治疗前后X线对比分析  

TRACTION TREATMENT OF LUMBAR PSEUDOSPONDYLOLISTHESIS: A Comparison and Analysis of Pre and Post treatment X rays

作　　者：崇步伟[1] 米晓云[1] 周永春 曹天军[1] 

机构地区：[1]山东省临沭县医疗保险管理中心

出　　处：《中医正骨》1999年第3期11-12,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：对３２例腰椎假性滑脱症牵引治疗前后Ｘ线平片进行对比观察，以了解滑脱椎体的复位程度与临床症状改善的相互关系。结果发现：①该病的主要病理基础是相邻椎间盘退变，导致相应椎体不稳而发生滑脱。②患病者绝大多数为女性，平均年龄５１．６岁。③半数病人有外伤史。④治疗前Ｘ线平片测量滑脱程度平均７．１ｍｍ，治疗后平均为３．９９ｍｍ，复位率达４３．８％。⑤采用瞬间成角牵引辅以手法治疗不仅能使滑脱椎体达到一定程度的复位，而且临床疗效显著。Thirty tow cases of lumbar pseudospondylolisthesis were treated by traction, the pre and post treatment X rays were observed and compared, and the reduction degree of olisthesed vertebrae and the relation between the olisthesed vertebrae reduction and the improvement of the clinical symptoms were further understood. The findings of the clinical observation included: 1. The main pathological basis was the degeneration of neighbouring intervertebral disc, which leaded to the instability and the olisthesis of the corresponding vertebrae; 2. Most of the patients were women (Mean age:51. 6 years) and a half of them had traumatic history; 3. According to X ray measurement, the pre treatment olisthesis averaged 7.1mm, while the post treatment averaged 3.99mm, and the reduction degree reached 43.8%; 4.Moment angular traction in combination with manual treatment not only reduced olisthesed vertebrae to some extent, but also obtained a significant clinical result.

关 键 词：腰椎滑脱症 退行性 牵引治疗 疗效对比 

分 类 号：R684.705[医药卫生—骨科学]