| 解读腰椎间盘突出症腰体形变化规律的研究 |
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Received:February 17, 2003
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| 期刊信息：《中国骨伤》2003年16卷，第10期，第580-583页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:解读冯天有教授有关腰椎间盘突出症腰型四步规律性变化。
方法:治疗腰椎间盘突出症腰型旋盆翘臀患者23例,摄体形像、X线片。并用Photoshop6.0图像处理软件处理。
结果: 本组患者X线片侧位腰曲变直,甚至反向。以站立前后位X线片上测量水平线与代偿椎体(L3或L4)上缘夹角,代表腰段脊柱旋转侧弯角度。本组病例此角度为(11.57±2.74)°。骨盆旋转倾斜有两种代偿方式。穿矫形鞋后站立前后位X线片可见骨盆发生旋转,腰段脊柱向一侧倾斜角度显著减小,变化值为(10.69±3.02)°(t=2.96,P<0.05),差异有显著性。电脑合成图像可见位移椎体L4或/和L5体表投影位于腰曲变平反向阶段。腰椎凸侧条状肌痉挛范围与腰椎旋转侧弯范围一致。随访3～24个月,优22例,良1例,差0例。
结论:腰椎间盘突出症Ⅲ型旋盆翘臀是躯干(脊柱)、骨盆、下肢联动结构对腰椎间盘突出压迫神经根代偿及身体生物力学平衡的结果 ,穿矫形鞋是治疗中的重要措施。 |
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| The interpretation on rule of lumbar malformation of lumbar intervertebral disc protrusion |
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Abstract:
Objective:The study of Feng Tianyou’s theory about lumbar malformation of lumbar inter-vertebral disc protrusion( IDP)
Methods:23 patients of LDP with revolved pelvis and turned upwards buttocks were treated with the conservative therapy includding Feng’s Spinal Manipulation and special shoes for orthopedic use originated from Feng Tianyou. Each patient was taken the X-ray and body pictures in different position. The pictures were put into the computer and were processed with the software Photoshop 6.0.
Results:The lumbar curve is flattened even reversed in lateral X-ray picture. The angle between the upper edges of the compensated vertebra(L3 or L4) and horizontal line were taken as the degree of the malformation of the spinal column.The angle is (11.57 ±2.74)° in this group. There are two kinds of revolved pelvis and turned upwards buttocks. The malformation degree of spinal column was relieved obviously after wearing the special shoes,which was observed in the A-P X-ray picture, compared with before and after wearing the shoe. The changed angle is (10.69±3.02)° (P<0.05).There was a remarkable difference.L4 or (and) L5 was at the flatten area of low back in amalgamated picture by computer while the scope of the spasm of Para-spinals was corresponded with that of the malformation of spinal column. All the cases were followed up from 3 to 24 months after treatment, there were 21 excellent cases, 1 good case and no poor case.
Conclusion:The malformation of the spinal column and revolved pelvis and turned upwards buttocks in LDP is the result of the unbalance of biomechanics’ sector of the body includes spine,pelvis and lower limb, due to the compensation itself. The rule of the four kind of lumbar malformation originated from Feng Tianyou is a great achievements in the physical diagnosis by which the doctor can tell the degree and prognosis of the LDP. The conservative therapies, including his spinal manipulation and special shoes,originated from Feng Tianyou, have already formed a new systematic theories for treatment of LDP,and achieved the excellent clinical effectiveness. |
| KEYWORDS:Lumbar vertebrae Intervertebral disk displacement Bone setting manipulation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 冯伟,郭伟,邓晶晶,孙鹏,肖梅.解读腰椎间盘突出症腰体形变化规律的研究[J].中国骨伤,2003,16(10):580~583 |
| 英文格式: | FENG Wei,GUO Wei,DENG Jingjing.The interpretation on rule of lumbar malformation of lumbar intervertebral disc protrusion[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(10):580~583 |
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