腰椎间盘突出症伴骶髂关节错位的治疗  

The Clinical Experience of The Lumbar Disc Herniation With Sacroiliac Joint Malposition

作　　者：梁伍 曾宪辉 周敬林 

机构地区：[1]广东省东莞市茶山医院,广东东莞523382

出　　处：《中医正骨》2011年第8期9-12,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：广东省中医药局建设中医药强省科研项目(NO:2009342)

摘　　要：目的:观察不同治疗方法对腰椎间盘突出症伴骶髂关节错位的效果。方法:135例患者随机分为3组。对照组45例,以治疗腰椎间盘突出症为主,用手法整复偏歪棘突及腰椎小关节紊乱,给予水平牵引等治疗。治疗1组45例,治疗骶髂关节错位为主,以正骨推拿手法治疗。治疗2组45例,腰椎间盘突出症与骶髂关节错位同时治疗,以三维牵引为主,并综合应用上面的治疗方法。结果:治疗1组治疗后骶髂关节错位的整复效果好,但腰曲值改善率低。治疗2组治疗后骶髂关节错位的整复效果好,腰曲的改善率高。对照组对骶髂关节错位无整复效果,腰曲值改善率明显。结论:治疗腰椎间盘突出症伴骶髂关节错位要分清主次,筋骨并重,而三维牵引是一种有效的治疗方法。Objective：To observe the effect of using different treatment methods to treat the lumbar disc herniation with sacroiliac joint malposition.Methods：The 135 cases were divided randomly into three groups,the contrastive group had 45 cases,and mainly treated the lumbar disc herniation,used the manual therapy to restore the malposition of lumbar spine and the disorder of lumbar facet joints,as well as the level traction and so on.The first experimental group had 45 cases,and mainly treated the sacroiliac joint malposition,used the Bone-setting naprapathy to card bones and complex dislocation of the sacroiliac joints.The second experimental group had 45 cases,the lumbar disc herniation and the sacroiliac joint malposition were treated together,mainly treated by the three-dimensional,and synthetically made use of the above treatment.Results：After the treatment,the restoration effect of the sacroiliac joint dislocation of the first experimental group was well,but the improvement rate of the lumbar curvature value was low.The restoration effect of the sacroiliac joint dislocation of the second experimental group was well,and the improvement rate of the lumbar curvature value was high.The contrastive group had no restoration effect of sacroiliac joint dislocation,but the improvement rate of the lumbar curvature value was patency.Conclusion：When treating the lumbar disc herniation with sacroiliac joint malposition,we must distinguish between the primary and secondary,veins and bones should be seriously,and the three-dimensional traction is an effective treatment.

关 键 词：椎间盘移位 腰椎 骶髂关节 

分 类 号：R681.53[医药卫生—骨科学]