综合疗法在腰椎间盘切吸溶核术中的应用

Application of comprehensive therapy in the operation of CT guided trans abdominal lumbar diskectomy

目的 :探讨针刺在经腹腰椎间盘切吸溶核术 (TALD)前后的治疗作用。方法 :采用电针、HYJ智能化微波治疗仪照射腰骶部及刺络放血等方法对TALD术前改善症状、术后康复、消除并发症等方面进行观察。结果 :36例腰痛及下肢放射痛较重不能平卧于手术定位台上的患者 ,经治疗后能缓解症状 ,配合手术完成 ;11例尿潴留、2 3例腹胀痛、4 7例腰背痛伴下肢放射痛的术后患者均在 3个疗程内消除、缓解症状。结论 :针刺疗法能有效缓解术前症状 ,使手术能顺利进行 ;消除术后并发症 ,促进水肿吸收及胶原酶溶解 ,缩短康复时间。

Objective To explore the therapeutic effect of acupuncture comprehensive therapy in the operation of trans abdominal lumbar diskectomy (TALD). Methods Electroacupuncture, radiation at the lumbar-sacrum with HYJ intelligence microwave instrument and pricking blood therapy were used, and symptom improvement before TALD operation, rehabilitation after the operation and elimination of complications were investigated. Results In the 36 cases of lumbar pain with more severe radiating pain and being unable to lie on the operation location table were treated with the symptoms improved, and their operations were completed; the symptoms in 11 cases of urinary retention, 23 cases of abdominal distension and 47 cases of lumbar-back pain with radiating pain to the lower limbs were eliminated and relieved after treatment of 3 courses. Conclusion Acupuncture can effectively relieve the symptoms before the operation, making the operation be successfully carried out; eliminate complications after operation, promote absorption of edema and dissolution of the collagenase and shorten the period of recovery.