牵引推拿石膏背固定治疗腰椎间盘突出症(附487例报告)

Traction,Manipulation and Gypsum Fixation for the Correction of Herniated Lumbar Disc(A Report of 487 Cases)

本文介绍治疗腰椎间盘突出症的一种综合疗法,即强的松龙硬膜外注射,逐渐增加牵引重量的基础上,采用旋转、摇摆、颠抖过伸等推拿手法复位,腰部垫高过伸位卧床1周,然后用活动石膏背固定2周。本法共治疗腰椎间盘突出症487例,平均随访2年8个月,疗效优良者460例(94.7%),其中23例复发,平均发生在3年2个月,用上法再次治疗后,均获优良效果。文中对发病机理和复位机理作了分析,提出了巩固疗效的方法。

This paper presents a synthesized therapy to treat Herniated Lumbar Discs,a method in which protrusion Lumbar disci intervertebrales are reposited through manipulation,twisting,swinging,vibrating and stretching etc,with the help of traction and followed by the injection of prodnisolone into epidural Lumen. The patient has to lie in bed two weeks with his waist stretched by placing a cushion under it.Afterwards,the waist is fixed with gypsum.487 cases have been treated by this means,460 had excellent results(94.7%) over an average period of two years and eight months followed.After being treated once more by this me.thod,twenty three patients,who had recurring problems after three years and two months on average,have had satisfactory results.This is an article concerning the principle of discs and their reposition,and the method of consolidating theraputic effects.