颈部牵引联合手法复位治疗寰枢关节半脱位临床观察  

Clinical observation of cervical traction combined with manual reduction for the treatment of atlantoaxial subluxation

作　　者：张杨[1] 朱宏安[1] 张杰[1] 

机构地区：[1]中国医科大学附属第一医院,辽宁沈阳110001

出　　处：《颈腰痛杂志》2017年第6期531-533,共3页The Journal of Cervicodynia and Lumbodynia

基　　金：辽宁省科学技术厅自然科学基金项目(201202262);辽宁省名老中医药专家传承工作室建设项目

摘　　要：目的观察颈部牵引联合手法复位治疗寰枢关节半脱位的临床疗效。方法回顾性分析我科2011-2015年门诊、病房采用颈部牵引联合手法复位治疗的寰枢关节半脱位患者162例,观察其治疗前后临床症状及X线表现变化情况。结果所有患者经过5 d颈部牵引联合手法复位治疗,治愈32例,有效122例,无效8例,总有效率(治愈+有效)95.1%。治疗后X线片寰齿前间隙值(ADI)和寰齿侧间隙差值(VBLADS)和治疗前相比有统计学意义(P均<0.01)。结论颈部牵引联合手法复位治疗寰枢关节半脱位的方法疗效确切,值得推广。Objective To observe the clinical curative effect of cervical traction combined with manipulative reduction in the treatment of atlantoaxial subluxation. Methods The clinical data of 162 patients with atlantoaxial subluxation in our department from 2011 to 2015, who were treated by cervical traction combined with manipulative reduction were retrospectively analyzed. The clinical symptoms and X-ray changes before and after treatment were observed. Results All patients received 5 days of cervical traction combined with manipulative reduction treatment, 32 cases were cured, effective in 122 cases, ineffective in 8 cases, the total effective rate （cure ＋ effective） was 95.1%. After treatment, X-ray atlantoodontoid before the gap value （ADI） and atlanto backlash （VBLADS） had statistically significant difference compared with before treatment （P〈0.01）. Conclusion The cervical traction combined with manipulative reduction in the treatment of atlantoaxial subluxation is effective, and it is worthy of promotion.

关 键 词：寰枢关节半脱位治疗 牵引方法 手法复位 方法 

分 类 号：R244[医药卫生—针灸推拿学] R685[医药卫生—中医临床基础]