腰椎间盘突出物的位移形变与临床  

THE DISPLACEMENT AND DEFORMATION OF THE PROTRUSION OF LUMBAR INTERVERTEBRALDISK AND ITS CLINICAL STUDY

作　　者：周游[1] 陈健[1] 陆群[1] 

机构地区：[1]浙江医科大学附属第二医院,杭州310009

出　　处：《中医正骨》1999年第12期9-10,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：对３３例腰椎间盘突出症的住院患者进行硬膜外封闭结合手法整复以及骨盆牵引等方法治疗．对治疗前后椎间盘突出物ＣＴ征象的变化进行分析，发现非手术疗法可使椎间盘突出物在ＣＴ像上产生缩小、扩大、左右向位移等形变，但位移形变无论大小均可同时获得痊愈、好转、无效三种疗效。认为消除继发性无菌性炎症水肿是非手术疗法有效的关键因素．利用ＣＴ对手法整复疗效加以评价，应具体情况具体分析。非手术疗法的目的是恢复发病前或建立发病后无症状的病理平衡（代偿）状态。Thirty-three inpatients with protrusion of lumbar intervertebral disc (PLID) were treated by extradural blockade combined with manipulative reduction, pelvis traction. etc, and the CT--sign changes of PLID before and after the treatment were analysed. Through analysis, it was found thatthe non--operative therapies could cause the displacement and deformation of PLID CT image, such as reduction, enlargement, left and right shift.However, three results including cured, improved and ineffective could be simultaneously obtained whether the displacement and deformation wereobvious or not. It was believed that the elimination of the secondary aseptic inflammation and edema could be the key to the effective treatment bythe non--operative therapies. In clinical practice, a concrete analysis should be made on CT evaluation of the therapeutic effect of the manipulativereduction according to specific conditions. The aim of the non-operative treatment is to recover the premorbit. or establish the postmorbit, asymptomatic pathological balance or compensation.

关 键 词：腰椎间盘突出症 治疗 牵引术 手法 CT 

分 类 号：R681.53[医药卫生—骨科学]