成角旋转快速牵引治疗腰椎间盘突出症80例

Effect of rapid traction with angular rotation in lumbar disc protrusions

目的观察成角旋转快速牵引治疗腰椎间盘突出症的疗效。方法采用成角旋转快速电动牵引治疗８０例腰椎间盘突出症。结果满意率９０％。５例牵引中腰椎摄片与牵引前对照，发现椎间隙均无增大。５例牵引前后ＣＴ片对照示突出髓核大小及形态无变化。结论该牵引是一种电动手法推拿治疗，疾病治愈是因髓核突出物与受压神经根移位，而不是突出的髓核回纳。

Objective To observe the therapeutic effect of rapid traction with angular rotation in lumbar disc protrusions. Methods A description is presented for 80 cases of lumbar intervertebral disc protrusion which were treated by rapid pelvic traction with angular rotations under computers control. Results The results are satisfactory in 72 cases with a total effective rate of 90%. In 5 cases, a comparison was made by the measurement of intervertebral spaces with roentgenography both before and in the course of traction. Similarly, CT scanning was applied to the other 5 cases in which the results of traction were compared. Conclusion Treatment by traction is considered to be one of manual manipulations with the help of electrical devices. Pain remission is caused by a displacement between the disc protrusion and the compressed nerve roots. Those for whom traction is ineffective need receive surgery.