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1、直腿抬高手法治疗腰椎间盘突出症与影像学区域定位的相关性分析中国中医骨曲科杂志2001年2月第9卷第1期9论着？直腿抬高手法治疗腰椎间盘突岀症与影像学区域定位的相关性分析王希(胡北省中医药研究院骨伤科研究所胡北武议430074)摘要口的:探讨直腿抬高手法治疗腰椎间盘突出症的适应症,以及影响疗效的相关因素•方法:采用胡有谷舶影像学区域定位法分类,回顾性地分析120倒腰椎间盘突出症的治疗效果.结果;椎间盘突出所在的层,区及域，治愈率和有救率分别为91.7,92.6,808无效率分别为&3,7.4,19.2.合并侧隐窝狭窄，椎管狭窄影像学征者井76倒，占63.3%,治愈率和有效率分别为8
2、6,84.2,无效率为14,15.8蹦.结论:突出在c〜d域.超过了椎臂前后径的1/2.为巨大型椎间盘突出.应持谨慎态度,不宣首选直褪抬高手法治疗.对彫像学提示有侧障窝狭窄和椎管狭窄的病例，应考虑其实际病理的多样性和复杂性•应具有相应的临床症状，以”症的月断为重点合并侧隐窝猿窄症和椎管狭窄症悬影响疗效的相关因素.美■词腰椎椎同盘移位直膳抬高手法体层摄影术X线计算机中田分赛号IR681.5立麓标识码tA文章舅号:1005—0205(200l)Of—0023—03ARelevantAaalysiaoftheTreatmentofProlllpsedLumbarintervertebr
3、alDiscandthelmagingStudyofltsThreedimensionalLocalizationwiththeMethodofStraightLegRaisingWangXiHubeiAcademyofTraditionalChineseMedicin&Phannacy,Wuhan,430074ABSTRACTObJective:Probingintothemethodofstraightlegraisingtreatingprolapsedlumbarinterverte-braldiscadaptivesymptomandimpactin〜curat
4、iveeffectrelcvantfactor.Metbods:Adoptingtheclassificationofthree一dimensionallocalizationirnangstudybyHu~uogu,weretrospectivelyanalysecurativeeffectofl20casesofprolapsedlumbarintervertehraldisc.Results:Prolapsedlumbarintervectebtaldisclocatingatlayer,section,field,thecureratesandefficiencyrate
5、swere91•7>92.6,80<&thefafleckateswere&3,7.IJ9.2.Coalescingsidecryptastenoslsandspinalstenosispatiel-tswere76ca制匕s(accountingfor63.3).Thecureratesandefficiencyratcswere86,84.2;thefailedrateswerel47/J5.8.Conclusion:Theprolapselocatingatc〜dfield.excess1/2ofvertebralcanalfore一and-aftdiameter.wasc
6、alledlargeness一typeprolapsedlumberlntervertehraldisc.Thiscaseshouldbeheldcautionsattitudeandwasinadvisabletochoosethemethodofstrahtlegraisingaspremierchoice.Theca3esofsidecrypt~stenosisandspinalsteno一sishavingcluetoimagingstudy,shouldconsideritsactualpathologicdiversityandcomplexity.Thiscaseh
7、adreeiprocalclinicalsymptom,andjudgedbysymptomasemphases.Coalescingsidecrptastcnoslsandspinalstenosisarerelevantfactorofaffectingcurativeeffect.KEYWORDSLumbarvertebraIntetwertehra[discdlsplacemeatThemethodOfsteal.ghtlegraisingTomographyX一rayc
