腰椎间盘退变中医治疗前后CT和MRI定量分析  

The Quantitative Analysis of CT and MRI of Lumbar Disc Degeneration Before and After TCM Treatment

作　　者：柯祺[1] 许灼新[1] 张继平[1] 龙翔宇[1] 周守国[1] 赵小梅[1] 

机构地区：[1]广东省佛山市中医院,广东佛山528000

出　　处：《新中医》2001年第11期44-46,共3页New Chinese Medicine

基　　金：广东省中医药管理局课题(编号:99634)

摘　　要：目的:观察腰椎间盘退变(LDD)中医治疗前后的形态变化。方法:采用推拿、针灸、牵引、中药内服外敷治疗LDD84例,治疗后分别作CT、MRI复查,定量评估治疗前后腰椎间盘CT、MRI形态变化,评估中医综合治疗的疗效。结果:中医治疗LDD优良率为82.14%;治疗前后椎间盘膨出、突出及脱出的程度、椎管前后径与横径、侧隐窝宽度、椎体终板许莫氏结节的大小、数目及分布均无明显差异;治疗前后椎间盘厚度、MRI信号强度亦无明显差异。结论:中医综合治疗能缓解LDD患者的临床症状,但对退变腰椎间盘的形态不能产生明显影响。Objective:To observe the morphological changes of lumbar disc degeneration(LDD)before and after TCM treatment.Methods:84 cases of LDD were treated by massage,acupuncture and moxibustion,traction,oral use and external application of Chinese herbal drugs.After treatment,the morphological changes of lumbar discs were estimated quantitatively by CT and MRI so as to evaluate the curative effect of comprehensive TCM treatment.Results:The markedly effective rate of TCM treatment for LDD was 82.14%,but the degree of Bulge,prolapse and herniation of lumbar disc,the anteroposterior diameter and transverse diameter of vertebral canal,the width of lateral crypt,the size,number and distribution of schmor1,s node of Vertebral end-plate,the thickness of lumbar disc and the signal intensity of MRI also showed no marked differences after treatment.Conclusion:TCM treatment can relieve the clinical symptoms of LDD,but could not affect the structure of the degenerated lumbar disc.

关 键 词：腰椎间盘移位 病理学 中医药疗法 CT 磁共振成像 定量分析 

分 类 号：R274.915.3[医药卫生—中西医结合] R816.8[医药卫生—中医骨伤科学]