腰椎间盘突出症的综合治疗及影像学分析

Comprehensive therapies and CT analysis of lumbar disc hernias

目的:观察单纯理疗和综合治疗腰椎间盘突出症的疗效及治疗前后影像学所见。方法:151例椎间盘突出症患者分为2组:A组(单纯理疗组)68例,采用超短波+电脑中频电疗或热磁+电脑中频治疗;B组(综合治疗组)83例,除采用上述理疗外,还采用骨盆牵引+推拿治疗。治疗后2—8个月内对其中的67例进行了CT随访。结果:A组痊愈显效率为63.24%;B组痊愈显效率为77.11%。两组治疗结果经Ridit分析,组间差异有显著性(P<0.05)。67例CT随访无一例突出物消失,其中39例未见明显变化,25例略缩小,3例增大。结论:两种疗法在腰椎间盘突出症康复中均有一定实用价值,其中以综合治疗疗效较佳。

Objective: To observe the curative effects of comprehensive therapies and CT appearances before and after treatment for the patients with lumbar disc hernias. Method: 151 cases of lumbar disc hernia were divided into two groups. Group A(68 cases) was treated with physiotherapy alone,namely ultrashort wave plus microcomputerized medium frequency or hot magnet plus microcomputerized medium frequency. Group B(83 cases) was treated with comprehensive therapies, namely physiotherapy plus lumbar traction and massage. 67 cases were followed-up with CT in two to eight months after treatment. Result:The effective rate was 63.24% in group A and 77.11% in group B.The statistical data proved that curative effects of group B was better than group A(P<0.05). In 67 cases, none of protruding materials was completely disappeared; 39/67 cases were no change; 25/67 cases shortened,3/67 enlarged slightly. Conclusion: The comprehensive therapies is a safe and effective therapy for treatment of the lumbar disc hernias. Author′s address Dept. of Physiotherapy, The First Affiliated Hospital, Anhui Medical University, Hefei, 230022