综合三步法治疗巨大腰椎间盘突出症的临床研究  

Clinical Efficacy of the Three-step Comprehensive Treatment on the Giant Lumbar Intervertebral Disc Herniation

作　　者：马红炜 李晓林 李文银 张乐平 马彬 冯海军 

机构地区：[1]宁夏回族自治区中医研究院,银川750021

出　　处：《宁夏医科大学学报》2012年第1期25-29,共5页Journal of Ningxia Medical University

基　　金：宁夏自然科学基金项目(NZ09180)

摘　　要：目的探索综合三步法治疗巨大腰椎间盘突出症临床效果。方法选择120例腰椎间盘突出症,且突出物大于或等于椎管横截面积或椎管矢状径1/2的患者,随机分为三组。保守组40例,给予常规腰椎按摩、牵引、中药治疗;综合组40例,给予综合三步法治疗,即首先臭氧髓核消融术对突出髓核进行消融减压,然后进行针刀外围松解,最后进行定点旋转复位法;手术组40例,给予椎板减压髓核摘除术治疗。结果患者出院评分、治疗改善率、出院1个月时随访主观症状评分差异均有统计学意义(P<0.01)。综合组和手术组分别与保守组比较,上述三项指标评分均优于保守组,差异均有统计学意义(均P<0.01);而手术组三项指标评分又优于综合组,差异有统计学意义(均P<0.05)。结论综合三步法对巨大腰椎间盘突出症有良好的治疗效果。Objective To observe the clinical efficacy of the three-step comprehensive treatment on the giant lumbar intervertebral disc herniation.Methods 120 patients with the giant lumbar intervertebral disc herniation were randomly divided into three groups.40 patients in conservative group took conventional lumbar massage,traction,physical therapy and other traditional Chinese medicine treatment;40 patients in experimental group received comprehensive three-step method(the first,ozone ablation for lumbar intervertebral disc herniation,and then needle knife release the external adhesions,and finally to fixed-point rotation reduction) for the treatment;40 patients in surgery group took laminectomy discectomy treatment.Results the three-step comprehensive treatment could significantly improve the great symptoms of lumbar disc herniation.The clinical efficacy in conservative group was significantly better than that in conservative group.Treat in conservative group was significantly safer than that in surgery group.Conclusion the three-step comprehensive treatment has a good clinical efficacy on the giant lumbar intervertebral disc herniation.

关 键 词：巨大腰椎间盘突出症 综合三步法 臭氧髓核消融术 针刀疗法 脊柱定位旋转复位法 

分 类 号：R681.53[医药卫生—骨科学]