推拿与牵引在腰椎间盘突出症治疗中的价值:CT影像学评估

The value morphological analysis of computed tomography of massage and traction treatment on lumbar disc protrusion

目的 观察腰椎间盘突出症（ lumbar disc protrusion,LDP )推拿、牵引治疗后的形态改变。方法 对 120例经 CT确诊的 LDP病例进行推拿、牵引治疗，治疗结束后作 CT复查，评估治疗前、后腰椎间盘的形态变化。结果 推拿、牵引治疗 LDP的有效率为 78.33％；但治疗前、后的腰椎间盘膨出、突出及脱出的程度、椎管前后径、侧隐窝宽度、椎体终板疝的形态等均无明显差异。结论 推拿、牵引疗法可较有效地缓解 LDP患者的临床症状，但不能对腰椎间盘突出症的形态产生明显影响。

Objective To observe morphological changes of lumbar disc protrusion (LDP) of post－ treatment with massage and traction therapy.Method 120 cases of patients with LDP were underwent computed tomography(CT) scanning of lumbar vertebra and were treated with massage and traction therapy.After the treatments were finished, CT re－ scanning of 120 patients were performed. Morphological appearances of first and second CT were comparatively analysed.Result Excellence and good rate of massage and traction therapy for LDP were 78.33％ . No differences were found between pre－ treatment and post－ treatment in relation to extent of bulge, extrusion and protrusion of lumbar disc,anteroposterior distance of lumbar vertebral canal, width of lateral recess, number and distribution of end plate herniation. Conclusion Massage and traction therapy could alleviate clinical symptom and sign of LDP, but can not obviously influence appearance of lumbar disc protrusion.