[1]黄鹏 蔡桦△ 吴玲普 彭鹏豪 易骏 王利仁.硬膜外封闭联合手法治疗LDH的疗效与CT定位区域的关系[J].中国中医骨伤科杂志,2017,25(07):39-43.
　HUANG Peng CAI Hua WU Lingpu PENG Penghao YI Jun Wang Liren.Relationship between the Efficacy of Epidural Block Combined with Manipulation Treating for LDH and the Regional Location of Imaging[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(07):39-43.
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硬膜外封闭联合手法治疗LDH的疗效与CT定位区域的关系()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年07期
页码:
39-43
栏目:
临床研究
出版日期:
2017-07-15

文章信息/Info

Title:
Relationship between the Efficacy of Epidural Block Combined with Manipulation Treating for LDH and the Regional Location of Imaging
文章编号:
1005-0205(2017)07-0039-05
作者:
黄鹏1 蔡桦2△ 吴玲普2 彭鹏豪1 易骏1 王利仁2
1.广州中医药大学研究生院(广州,510000)
2.广州中医药大学第三附属医院
△.通讯作者 E-mail:862751890@qq.com
Author(s):
HUANG Peng1 CAI Hua2△ WU Lingpu2 PENG Penghao1 YI Jun1 Wang Liren2
1.Graduate School of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510000, China;
2.The Third Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine, Guangzhou 510000, China.
关键词:
腰椎间盘突出症(LDH);  硬膜外药物封闭;  直腿抬高手法;  胡有谷区域定位法
Keywords:
lumbar disc herniation(LDH);  epidural block therapy;  straight leg raising method;  Hu Yougu regional positioning method
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨在硬膜外封闭基础上加用直腿抬高手法治疗腰椎间盘突出症(LDH)的适应症,以及不同CT定位区域的疗效差异性。方法:对2014年6月至2016年6月在本院就诊的腰推间盘突出症患者,根据诊断标准和排除标准选择60例,采用胡有谷影像学区域定位法分类,各区域术前及术后采用Macnab标准评定疗效、VAS评分和JOA评分,回顾性分析60例腰椎间盘突出症患者的治疗效果。结果:临床治疗效果采用Macnab标准,当腰椎间盘突出位置位于Ⅰ层、1-2区、a-b域,其疗效明显高于其余的区域,差异有统计学意义(P<0.05)。各区域术前及术后经VAS评分和JOA评分发现:Ⅰ层、1-2区、a-b域和Ⅱ-Ⅲ层、3-4区、c-d域之间存在差异,且差异有统计学意义(P<0.05)。结论:在硬膜外封闭基础上加用直腿抬高疗法在治疗腰椎间盘突出症方面有一定的疗效,而按照胡有谷区域定位法分类,当腰椎间盘突出物位于Ⅰ层、1-2区和a-b域时,本治疗方法能取得更佳的疗效。
Abstract:
Objective: To explore the indications of straight leg raising method on the basis of epidural block treating for lumbar disc herniation and the differences of therapeutic effect in different CT locating areas. Methods: From June 2014 to June 2016, 60 patients with lumbar disc herniation in our hospital were selected according to the diagnostic criteria and the exclusion criteria, and the patients were classified by Hu Yougu imaging localization method. The therapeutic effect of 60 patients with lumbar disc herniation was retrospectively analyzed by Macnab standard, VAS score and JOA score before and after operation of each area. Results: The Macnab standard was used for the effect of the clinical treatment, when the lumbar disc herniation was located in the Ⅰ layer, 1-2 region, a-b domain, the curative efficiency was significantly higher than that of the rest of the region, the difference was statistically significant. The VAS and JOA score of the preoperative and postoperative in each region were found to be different between the Ⅰ layer, 1-2 region, a-b domain and the Ⅱ-Ⅲ layer, 3-4 region and c-d domain, and the difference was statistically significance. Conclusion: In the epidural block combined with straight leg raising therapy are effective in the treatment of lumbar disc herniation, and according to the Hu Yougu regional positioning method, when the classification of lumbar disc herniation is in the Ⅰ layer, 1-2 region and a-b domain, the treatment in this study can obtain better curative effect.

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更新日期/Last Update: 2017-07-15