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镇痛牵引下脊柱推拿疗法对腰椎间盘突出影响的B超分析
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作者Author单位UnitE-Mail
龚正丰 Gong Zhengfeng 江苏省苏州市中医医院 Suzhou Hospital of TCM,Jiangsu 215003  
姜宏 Jiang Hong 江苏省苏州市中医医院 Suzhou Hospital of TCM,Jiangsu 215003  
陈益群 Chen Yiqun 江苏省苏州市中医医院 Suzhou Hospital of TCM,Jiangsu 215003  
黄克诚 Huang Kecheng 江苏省苏州市中医医院 Suzhou Hospital of TCM,Jiangsu 215003  
期刊信息:《中国骨伤》1994年7卷,第4期,第8-10页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
本文报告38例腰椎间盘突出症患者,43个节段突出,运用镇痛牵引下脊柱推拿疗法治疗后,3~6个月复查,疗效优良率分别为71%和87%;B超复查显示:有9个节段突出物消失,13个明显缩小,8个稍缩小,7个不变,6个增大(P>0.05),突出物总体变化虽呈一定的缩小趋势(P<0.05),但与疗效未呈相关性(P>0.05).结果提示:脊柱推拿疗法的疗效机制可能在于使突出物变位(位移)、变形以及由此不同程度地解除突出物对神经根或硬膜囊的病理性影响。突出物能否回纳并不是决定疗效的唯一因素。
[关键词]:腰椎间盘突出症  脊柱推拿  B超  疗效机制
 
B ultrasonic analysis on influence or spinal Tuina therapy under analgesic traction in treating protrusion of lumbar intervertebral disc
Abstract:Forty three segments of 38 cases of protrusion of lumbar intervertebral disc were reported.After treated with spinal Tuina therapy under analgesic traction 3 to 6 months the therapeutic results of rate of good and fair were 71% and 87% respectively.The B ultrasonic examination revealed that there were disappearance of the protruded mass in 9 segments,markedly shrinkage in 13.slight shrinkage in 8 no change in 7,enlarged in 6(p>0.05).Though there was a tendency of shrinkage of the protruded mass as a whole(P<0.05),there was no correlation as compared with the therapeutic effects(P>0.05).The results indicated that the mechanism of the therapy might be due to displacement and changing of the shape of the protruded mass and removing the pathological factor of the protruded mass exerting on the nerve root ordural sac in various degrees.Whether the protruded mass could return to its original place is not decisive factor in the therapeutic effect.
KEYWORDS:Protrusion of lumbar  intervertebral disc  Spinal  Tuina  B ultrasonic examination  Mechanism the therapeutic effect
 
引用本文,请按以下格式著录参考文献:
中文格式:龚正丰,姜宏,陈益群,黄克诚.镇痛牵引下脊柱推拿疗法对腰椎间盘突出影响的B超分析[J].中国骨伤,1994,7(4):8~10
英文格式:Gong Zhengfeng,Jiang Hong,Chen Yiqun,Huang Kecheng.B ultrasonic analysis on influence or spinal Tuina therapy under analgesic traction in treating protrusion of lumbar intervertebral disc[J].zhongguo gu shang / China J Orthop Trauma ,1994,7(4):8~10
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