摘要
本文报告35例腰椎间盘突出症患者,共36个盘突出,经以手法为主的非手术方法治疗后,临床有效33例(94.3%),电子计算机体层摄影(CT)扫描复查6个盘完全还纳,24个盘部分还纳,手法还纳的成功率为83.3%。认为突出的椎间盘还纳是临床疗效的重要因素。
35 eases of fumbar disc herniation were examined by clinical diagnosis and CT scanning.The results showed that there were 36 disc herniation(1 case of dual disc herniation).The radius vector of disc was 6.3 mm and the transverse diameter was 18.6 mm.There were 30 cases with sac of dura mater of spinal cord or nerve roots pressed and adhesive,yellow ligaments pachismus,lateral recessus filling and narrow bony lumbar vertebral canal.All patients were treated by means of manipulation.The clinical results showed that 29 cases(82.8%)had superior effects and 33 cases were effective.The clinical effective rate was 94.2%.CT rescanning showed that disc reposition completly returned was 6 cases,and partially returned was 24 cases.The successful rate of the reposition by manipulation was 83.3%.The clinical analysis and CT showed that herniation of lumbar disc could be repositioned by means of manipulation.The reposition of herniation of disc was a key factor in clinical results but was by no means the only one.With regard to long duration of illness,repeated invasion,combined narrow bony lumbar vertebral canal,and non-improved central type herniation after a long period of treatment,the herniation of disc should be treated by operation.
