腰后关节紊乱症手法治疗机理的临床与实验研究

CLINICAL AND EXPERIMENTAL STUDIES ON MECHANISMS OF MANIPULATIVE TREATMENT FOR THE DERANGEMENT OF LUMBAR FACET JOINTS

通过对５３例腰后关节紊乱症患者的临床分析，并根据产生腰痛的原因，将该症分为关节周围型和关节内型。通过对１０具尸体的１００支腰脊神经后内侧支显微解剖观察，证明后关节的神经支配主要来自后内侧支，该神经的行程及通道存在多处被挤压的因素，作者从神经解剖生理的角度探讨腰后关节紊乱的病机和手法治疗原理。

Based on the analysis of 53 cases of derangement of Lumbar facet joints,and the cause of Lumbago,the disease was classified into two types:the peri-articular and the intraarticular type.Through microanatomical observation of 100 posteromedial branch of Lumbar spinal nerve from 10 cadavers,it was shown that the facet joints were chiefly innervated by posteromedial branch.They were compressed by multiple factors along their course and passage.The pathogenesis and principle of manipulative therapy of the ailment were explored based on the neuroanatomical and physiological data.