腰椎间盘突出症保守治疗的效果及其与CT扫描结果之间关系探讨

The Relationship between the Effect of Conservative Treatment and the Results of CT Scan in Lumbar Disc Prolapse

报告了 36例腰椎间盘突出症的患者采用成角旋转腰椎牵引疗法 ,部分患者同时配合使用硬膜外封闭治疗的结果 ,旨在探讨保守治疗的效果与CT扫描结果之间的关系。观察结果初步表明 ,保守治疗的效果与间盘突出的大小有关 :5～ 6mm以上的突出 ,保守治疗的效果不佳 ;疗效与间盘突出的部位有关 :位于侧隐窝 ,特别是位于狭小的神经根管的突出 ,疗效往往不佳 ;疗效与病程有关 :发病时间越长 ,特别是伴有突出组织的钙化 ,往往影响治疗的效果。提示 :临床在选择保守或手术治疗的方式时 。

In this paper,we reported the results of 36 cases with lumbar disc prolapse through conservative treatment in order to observe the relationship between the effect of conservative treatment and the results of CT scan We found that the effectiveness of treatment was related to the size and location of the disc protrusion as well as the course of disease The results suggested that these factors should be considered fully during selecting the methods of conservative treatment or operation in lumbar disc prolapse