骨化型腰椎间盘突出症76例临床分析

Clinical Analysis of 76 Cases with Ossification of Protruded Lumbar Intervertebral Disc

目的 :探讨骨化型腰椎间盘突出症的发病机理、临床表现、治疗机理和疗效。方法 :回顾性分析该病 76例临床资料 ,用手法触诊检查确定腰椎棘突偏歪方向 ,76例患者全部摄了腰椎正侧位片 ,全部作了腰椎CT扫描检查 ,用冯氏手法治疗了 76例患者。结果 :本组 76例均有棘突偏歪 ,腰 5骶 1椎间盘突出骨化个数最多 (5 4个 ,62 .1 % ) ,变窄和未变窄的椎间隙发生椎间盘突出及骨化个数 ,二者比较 ,P<0 .0 0 1。有和无骨化型腰椎间盘突出症的手法治愈例数相比 ,P<0 .0 1 ,有效例数相比 ,P>0 .0 5。结论 :本病确诊靠 CT检查 ,冯氏手法是治疗该症的有效方法之一。

Objective:To analysis the pathogenic mechanism,clinical manifestation and conservative treatment of ossification of protruded lumbar intervertebral disc (OPLID).Methods:Seventy-six cases were retrospectively analyzed with radiographs in A-P and lateral view of lumbar spine,CT scanning on the involved intervertebral space,and the deviation of lumber spinous process assured by special palpation of Feng's Spinal Manipulation(FSM)treatment.Results:L 5～S 1 segment appeared to be mostly affected by OPLID(54 cases 62.1%).The patient with narrowed interverterbral spaces has higher rate of OPLID compared with those with normal intervertebral spaces.The difference is very significant (P<0.001).On the other hand,The patients with non-ossified lumbar disc protrusion showed better result after the treatment compared with the patients with OPLID(P<0.01).Conclusion:A precise diagnosis of the disease is relied mainly on CT examination.The FSM is an effective choice in the treatment.