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三步法复位颈椎双侧关节突关节脱位
Hits: 2282   Download times: 1066   Received:June 26, 2001    
作者Author单位UnitE-Mail
周英杰 ZHOU Ying-jie 洛阳正骨医院正骨研究所,河南省脊柱外科研究治疗中心,河南洛阳471002 Orthopedic and Traumatological Hospital and Institute of Luoyang Henan Luoyang ,471002  
史相钦 SHI Xiang-qin 洛阳正骨医院正骨研究所,河南省脊柱外科研究治疗中心,河南洛阳471002 Orthopedic and Traumatological Hospital and Institute of Luoyang Henan Luoyang ,471002  
李立新 LI Li-xin 洛阳正骨医院正骨研究所,河南省脊柱外科研究治疗中心,河南洛阳471002 Orthopedic and Traumatological Hospital and Institute of Luoyang Henan Luoyang ,471002  
赵庆安 洛阳正骨医院正骨研究所,河南省脊柱外科研究治疗中心,河南洛阳471002 Orthopedic and Traumatological Hospital and Institute of Luoyang Henan Luoyang ,471002  
郭艳幸 洛阳正骨医院正骨研究所,河南省脊柱外科研究治疗中心,河南洛阳471002 Orthopedic and Traumatological Hospital and Institute of Luoyang Henan Luoyang ,471002  
期刊信息:《中国骨伤》2002年15卷,第4期,第193-195页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:河南省科技攻关项目(编号:99170360)


目的:提高颈椎双侧关节突关节脱位的复位成功率,缩短复位所需时间。

方法:对36例此类损伤的患者采用颅环牵引下手法复位的疗效进行了系统的临床观察。

结果: 成功35例,失败回例,复位成功率97.22%。牵引开始至椎体复位时间最短30分钟,最长约4小时。

结论:显示该方法具有复位成功率高、用时短等优点,可有效地减轻脊髓的继发性损害,无明显的神经并发症,该方法值得提倡。
[关键词]:脱位  正骨手法  颈椎
 
Treatment of dislocation of bilateral zygapophysial joints of cervical vertebrae with method of "Three-step" reduction
Abstract:

Objective:To increase the successful rate of reduction of bilateral zygapophysial joints dislo-cation of the cervical spine and to shorten the time of the reduction

Methods:36 cases of bilateral zygapophysial joints dislocation of the cervical spine were treated with "Three-step" manual reduction method under cranial ring traction and the Results of the treatment were observed systemically.

Results:The reduction was successful in 35 cases and failed in 1 cases, with successful rate of 97.22% . The time from the beginning of traction to the reduction of the vertebral body ranged from 30 minutes to 240 minutes.

Conclusion: This method has some advantages,such as high successful rate and shorter reduction time. It can effectively decrease the secondary in-jury to the spinal cord without significantly nervous complications,and is being worth popularizing.
KEYWORDS:Dislocation  Manipulation  Cervical vertebrae
 
引用本文,请按以下格式著录参考文献:
中文格式:周英杰,史相钦,李立新,赵庆安,郭艳幸.三步法复位颈椎双侧关节突关节脱位[J].中国骨伤,2002,15(4):193~195
英文格式:ZHOU Ying-jie,SHI Xiang-qin,LI Li-xin.Treatment of dislocation of bilateral zygapophysial joints of cervical vertebrae with method of "Three-step" reduction[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(4):193~195
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