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《直腿抬高手法治療腰椎間盤突出癥與影像學(xué)區(qū)域定位的相關(guān)性分析》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、直腿抬高手法治療腰椎間盤突出癥與影像學(xué)區(qū)域定位的相關(guān)性分析中國中醫(yī)骨曲科雜志2001年2月第9卷第1期9論著？直腿抬高手法治療腰椎間盤突岀癥與影像學(xué)區(qū)域定位的相關(guān)性分析王希(胡北省中醫(yī)藥研究院骨傷科研究所胡北武議430074)摘要口的:探討直腿抬高手法治療腰椎間盤突出癥的適應(yīng)癥,以及影響療效的相關(guān)因素?方法:采用胡有谷舶影像學(xué)區(qū)域定位法分類,回顧性地分析120倒腰椎間盤突出癥的治療效果.結(jié)果;椎間盤突出所在的層,區(qū)及域，治愈率和有救率分別為91.7,92.6,808無效率分別為&3,7.4,19.2.合并側(cè)隱窩狹窄，椎管狹窄影像學(xué)征者井76倒，占63.3%,治愈率和有效率分別為8
2、6,84.2,無效率為14,15.8蹦.結(jié)論:突出在c?d域.超過了椎臂前后徑的1/2.為巨大型椎間盤突出.應(yīng)持謹(jǐn)慎態(tài)度,不宣首選直褪抬高手法治療.對彫像學(xué)提示有側(cè)障窩狹窄和椎管狹窄的病例，應(yīng)考慮其實際病理的多樣性和復(fù)雜性?應(yīng)具有相應(yīng)的臨床癥狀，以”癥的月斷為重點合并側(cè)隱窩猿窄癥和椎管狹窄癥懸影響療效的相關(guān)因素.美■詞腰椎椎同盤移位直膳抬高手法體層攝影術(shù)X線計算機(jī)中田分賽號IR681.5立麓標(biāo)識碼tA文章舅號:1005—0205(200l)Of—0023—03ARelevantAaalysiaoftheTreatmentofProlllpsedLumbarintervertebr
3、alDiscandthelmagingStudyofltsThreedimensionalLocalizationwiththeMethodofStraightLegRaisingWangXiHubeiAcademyofTraditionalChineseMedicin&Phannacy,Wuhan,430074ABSTRACTObJective:Probingintothemethodofstraightlegraisingtreatingprolapsedlumbarinterverte-braldiscadaptivesymptomandimpactin?curat
4、iveeffectrelcvantfactor.Metbods:Adoptingtheclassificationofthree一dimensionallocalizationirnangstudybyHu~uogu,weretrospectivelyanalysecurativeeffectofl20casesofprolapsedlumbarintervertehraldisc.Results:Prolapsedlumbarintervectebtaldisclocatingatlayer,section,field,thecureratesandefficiencyrate
5、swere91?7>92.6,80<&thefafleckateswere&3,7.IJ9.2.Coalescingsidecryptastenoslsandspinalstenosispatiel-tswere76ca制匕s(accountingfor63.3).Thecureratesandefficiencyratcswere86,84.2;thefailedrateswerel47/J5.8.Conclusion:Theprolapselocatingatc?dfield.excess1/2ofvertebralcanalfore一and-aftdiameter.wasc
6、alledlargeness一typeprolapsedlumberlntervertehraldisc.Thiscaseshouldbeheldcautionsattitudeandwasinadvisabletochoosethemethodofstrahtlegraisingaspremierchoice.Theca3esofsidecrypt~stenosisandspinalsteno一sishavingcluetoimagingstudy,shouldconsideritsactualpathologicdiversityandcomplexity.Thiscaseh
7、adreeiprocalclinicalsymptom,andjudgedbysymptomasemphases.Coalescingsidecrptastcnoslsandspinalstenosisarerelevantfactorofaffectingcurativeeffect.KEYWORDSLumbarvertebraIntetwertehra[discdlsplacemeatThemethodOfsteal.ghtlegraisingTomographyX一rayc
