基于脊柱-骨盆参数变化探讨三维牵引治疗退变性腰椎滑脱症的临床疗效  

Effect of three-dimensional traction on degenerative lumbar spondylolisthesis based on changes in spine-pelvic parameters

作　　者：郭俊彪 吴树旭 王慧敏 陈文治 韦以宗 GUO Jun-biao;WU Shu-xu;WANG Hui-min;CHEN Wen-zhi;WEI Yi-zong(Department of orthopedics,The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou,Guangdong 510000,China;不详)

机构地区：[1]广州中医药大学第二附属医院广东省中医院骨科,广东广州510000 [2]北京以宗整脊研究院,北京100000

出　　处：《中国临床研究》2021年第11期1503-1506,共4页Chinese Journal of Clinical Research

基　　金：广东省中医药管理局资助项目(20172076)。

摘　　要：目的基于脊柱-骨盆参数的改变,观察三维牵引治疗退变性腰椎滑脱症(DLS)的临床疗效。方法前瞻性对照研究2018年10月至2019年3月收治的DLS患者39例,观察组19例采用三维牵引治疗,对照组20例采用骨盆牵引治疗,治疗周期为1个月,前后共分别牵引15次,测量治疗前后的矢状位角度改变和国际腰痛疾患疗效评定标准(JOA评分)、视觉模拟评分(VAS),随访时间为3个月。结果治疗后观察组骨盆倾斜角(PT)增加,骶骨倾斜角(SS)、腰椎前凸角(LL)减小,VAS评分降低,JDA评分升高,且优于对照组,差异有统计学意义(P<0.05)。结论三维牵引治疗退变性腰椎滑脱症能有效的改善脊柱-骨盆参数,并具有良好的临床疗效。Objective Based on the changes of spine-pelvis parameters,to observe the clinical efficacy of three-dimensional traction in the treatment of degenerative lumbar spondylolisthesis(DLS).Methods Prospective control study was carried out in 39 patients with DLS treated from October 2018 to March 2019.Three-dimensional traction was conducted in observation group(n=19),and pelvic traction was performed in control group(n=20).The treatment lasted for 1 month in both groups,with 15 times of traction,respectively.Before and after treatment,the changes in spinal-pelvis parameters,JOA(Japanese orthopedic association)score and visual analogue scale(VAS)were measured.The patients were followed-up for 3 months.Results After treatment,pelvic tilt angle(PT)increased,sacral tilt angle(SS)and lumbar lordosis angle(LL)decreased,VAS decreased,JOA increased in observation group,and were significantly better than those in control group(P<0.05).Conclusion In the treatment of DLS,three-dimensional traction can effectively improve the spine pelvic parameters and has a good clinical effect.

关 键 词：退变性腰椎滑脱症 脊柱-骨盆参数 三维牵引 骨盆牵引 

分 类 号：R687.3[医药卫生—骨科学]