针刀松解联合骶管滴注治疗腰椎间盘突出症174例疗效观察

Acupotomy Dissolution and Instillation of Sacral Canal for the Treatment of 174 Cases of Lumbar Disc Herniation

目的探讨小针刀松解腰臀腿等部位痛点联合骶管滴注治疗腰椎间盘突出症的临床疗效。方法采用小针刀松解腰臀腿等部位痛点或阳性反应点联合骶管滴注超容积的复合镇痛液进行治疗,运用改良日本骨科学会下腰痛评分法(M-JOA)进行临床疗效评估。结果优81例,占46.6%;良69例,占39.6%;可23例,占13.2%;差1,占0.6%。优良率为86.2%,总有效率为99.4%。结论采用小针刀松懈相关区带内损伤的软组织联合骶管滴注治疗腰椎间盘突出症,既能解除软组织不正常的应力,恢复脊柱的动态平衡和力平衡,又能促进神经根水肿和炎症的消退,减轻或消除椎管内神经根受压迫和刺激,从而消除椎管内外致病因素,达到治疗目的。针刀松解联合骶管滴注治疗腰椎间盘突出症疗效显著,操作简便、安全,值得临床推广。

Objective To explore the clinical efficacy on lumbar disc herniation treated with acupotomy dissolution at the pain spots in the lumbar region,buttocks and leg,combined with instillation of sacral canal.Methods Acupotomy dissolution at the pain spots or positive reactive spots in the lumbar region,buttocks and leg was used.The instillation of sacral canal of super-volume with compound analgesia solution was combined.The modified Japanese orthopedic association low back pain score（M-JOA）was applied to the evaluation of clinical efficacy.Results 81 cases were evaluated as excellent,accounting for 46.6%;69 cases were as good,accounting for 39.6%;23 cases were as fair,accounting for 13.2% and 1 case was as poor,accounting for 0.6%.The rate of excellent and good results was 86.2% and the total effective rate was 99.4%.Conclusion In the treatment of lumbar disc herniation,acupotomy dissolution at the injured soft tissues in the relevant zones combined with instillation of sacral canal not only releases the abnormal stress at the soft tissues and recovers the dynamic balance and mechanic balance of the spine,but also promotes the removal of edema and inflammation of nerve root,alleviates or reduces the compression and stimulation of e nerve root in the canal.As a result,the endogenous and exogenous factors in the canal are eliminated and the disease is treated.Acupotomy dissolution at the injured soft tissues in the relevant zones combined with instillation of sacral canal is significant in efficacy,simple and safe in operation in the treatment of lumbar disc herniation.Hence,the therapeutic program deserves to be promoted clinically.