腰椎间盘突出症麻醉下大推拿治疗疗效与影像学区域定位的相关分析  

THE CORRELATION ANALYSIS BETWEEN THE EFFECT OF MANIPULATION UNDER ANESTHESIA AND THE THREE-DIMENSIONAL LOCALIZATION IN THE HERNIATION OF LUMBAR DISC

作　　者：王建国[1] 郑昱新[1] 石印玉[1] 

机构地区：[1]上海中医药大学附属曙光医院,200021

出　　处：《中医正骨》2002年第8期3-4,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：为探讨腰椎间盘突出症麻醉下大推拿治疗疗效与影像学区域定位的关系 ,将 388例腰椎间盘突出症患者随机分为 2组(有效组和无效组 ) ,根据胡有谷的影像学区域定位法进行对比分析。结果有效组 2 98例 ,矢状位定位于 层面突出的 2 2 0例 (占5 6 .70 % ) ,额状位分域位于 a～b区域突出的 2 6 0例 (占 6 7.0 1% )。无效组 90例 ,突出区域分别为 层面的 30例 (占 33.33% ) ,a～ b域的 37例 (41.11% )。两组就上述两项进行统计分析 ,有显著性差异。认为区域定位可显示腰椎间盘突出的大小、方向、位置。本研究结果显示麻醉下大推拿手法对位于 层面、2区、a～ b区域的椎间盘突出有较好的疗效。Objective: To investigate the relation between the effect of manipulation under anesthesia and the three-dimensional localization in the herniation of lumbar disc. Methods: Three hundred and eighty-eight cases were divided into two groups: 298 cases in effective group and 90 cases in ineffective group. The comparison analysis was performed between two groups according to the three-dimensional localization which is recommend by Huyougu's method. Results: In effective group there were 220 cases in Sagittal planeⅠ(56.70%) and 260 cases in Frontal plane a-b(67.01%). In ineffective group there were 30 cases in Sagittal planeⅠ(33.33%) and 37 cases in Frontal plane a-b(41.11%). There was significant difference in two groups(P<0.05). Conclusion: The three-dimensional localization is useful for displaying the size, direction and position of lumbar disc. It was suggested that the high efficacy of manipulation under anesthesia was achieved in cases of disc herniation in Sagittal plane Ⅰand Frontal plane a-b.

关 键 词：腰椎间盘突出 治疗 推拿术 影像学区域定位 临床研究 

分 类 号：R244.1[医药卫生—针灸推拿学]