非手术疗法治疗腰椎间盘突出症临床研究

Clinical study of non-operative treatment of lumbar disc herniation

本文介绍了腰椎间盘突出症在全麻下手法推拿的方法。对４６９例患者行非手术疗法治疗后的效果进行了分析，并对其中５９例患者推拿治疗前后的ＣＴ、体感诱发电位及血管电脑Ｂ超检查结果进行对比观察，分析手法推拿治疗腰椎间盘突出症的作用机制，提出了一种新的观点，认为推拿治疗腰椎间盘突出症并非将突出之髓核定位或挤破，而是通过手法作用在机体深部，改变突出物周围组织的血液循环，松解受压神经根与周围组织的粘连而达到治疗目的。

In this article,the method of treating the lumbar disc herniation by manipulation under general anesthesia in 469 cases were intreduced.The result of CT scanning,SEP and vessel B ultrasound before and after treatment in 59 cases were observed and compared. Through the study,a new point of viev was suggested in the mechanism of manipulation. The manipulation did not reduce or rupture the prolapsed disc.But it can gain an active treatment by affecting the deep tissue,changing the blood circulation around the protruded mass, lossening the adhesion between the compressed nerve root and surrounding tissue.