推拿后重症腰椎间盘突出症的手术治疗

Operative therapy in severe herniated lumbar discs after manipulating treatment

本文介绍了１８８例推拿手法后的重症腰椎间盘突出症手术治疗结果，优良率为９５％．作者强调术前明确定性定位诊断、正确细致的手术操作技术是手术治疗成功的关键．从本组病例临床症状和体征的发展，以及手术中的病理所见，作者认为不适当的推拿手法可以使椎间盘突出加重，甚至发生马尾神经或神经根损伤的严重并发症．文中强调，在提倡推拿治疗的同时，应当严格掌握手法推拿和外科手术治疗的适应证。当推拿手法出现神经并发症时，应及时采取减压手术，解除对神经的压迫．

cases of severe herniated lumbar discs after manipulative were treated operatively. It showed that the excellent and good rate was 9.5%. The authors emphasized that an accurate diagnosis, strict indications prior to operation, correct and skillful treatment are the keys of success. According to the development of symptoms and signs of the HLD and findings. of the pathogenic change in the operation of this group cases, the authors recognized that the improper manipulative therapy would aggravate the prolapse of discs, and injure the caudal equina and nerve roots. The authors emphasized that while advocating manipulative treatment, the massagist or doctor must have a clear idea about the strict indications for treating HLD by using manual or surgical method. When the, manipulative treatment followed by nerve injury, the decompression should be performed in time to relieve the nerves from compression.