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针刀与手术治疗腰椎间盘突出症疗效对照观察 被引量:16

Comparative observation of efficacy on lumbar disc herniation treated with acupotomology and operation
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摘要 目的:比较针刀与手术治疗腰椎间盘突出症的疗效差异。方法:将184例患者随机分为针刀组(109例)、手术组(75例)。针刀组临床选择突出椎间盘局部相关软组织治疗点、臀上皮神经走行区、坐骨神经出口、双下肢神经支配区的反应点,采用针刀治疗;手术组采用小切口小开窗椎间盘摘除术,对两组临床疗效进行评定。结果:针刀组临床治愈率为82.6%(90/109)、有效率为96.3%(105/109),手术组分别为86.7%(65/75)、97.3%(73/75),组间比较差异无统计学意义(均P>0.05)。结论:针刀治疗腰椎间盘突出症疗效肯定,与手术治疗疗效相当。 T Objective To compare the efficacy difference between acupotomology and operation in the treatment of lumbar disc herniation (LDH). Methods One hundred and eighty-four cases were randomized into an acupotomology group (109 cases) and an operation group (75 cases). In acupotomology group, acupotomology was applied to relevant local soft tissues in LDH and the reactive points in the distribution of superior gluteal nerves, at the outlet of sciatic nerve and in the nerve innervate area of the lower extremities separately. In operation group, the small-windowed discectomy through small incision was adopted. The clinical efficacies were assessed between two groups. Results In acupotomology group, the clinical cured rate was 82.6% (90/109) and the effective rate was 96.3% (105/109). In operation group, they were 86.7% (65/75) and 97.3% (73/75) respectively. There were no significant differences in statistics between two groups (both P〉0. 05). Conclusion Acupotomology is definitely effective in the treatment of lumbar disc herniation and its efficacy is similar to that of operation.
出处 《中国针灸》 CAS CSCD 北大核心 2011年第8期743-746,共4页 Chinese Acupuncture & Moxibustion
关键词 椎间盘移位 腰椎 小针刀 手术 Intervertebral Disk Displacement, Lumbar Vertebrae Small Knife Needle Operation
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