摘要
目的 :分析探讨下肢体表红外热图对诊断腰椎间盘突出症的临床意义。方法 :按顺序选择住院接受手法保守治疗的腰椎间盘突出症患者 45例及同期无本病 6 5名正常人作为对照 ,观察两组腰背及双下肢体表红外热图 ,对不同区域的双侧温差情况给予多角度比较分析 ;并结合患者治疗前后临床典型体征的变化情况进行相应的统计分析。结果 :两组比较发现 ,腰背及下肢体表热图双侧温差在大部分区域都有显著性差异 ;而通过手法治疗前后对照看 ,以股后区双侧温差越大越能说明患者的临床症状的严重程度 ,小腿区神经支配区的温差变化无这种相关性。结论 :红外热图诊断腰椎间盘突出症仅具有辅助作用 ;其定位诊断作用比较模糊 ;
objective To analyse and explore the diagnostic significance of infrared thermography on the patients with lumbar intervertebral disc protrusion. Methods: Fouty five hospitalized cases under conservative treatment (mainly manipulation) and 65 controls were sequentially selected. Both groups were examined with infrared thermograph on lower back and lower extremities as well as physical examination before and after treatment. The study statistically analysed the temperature difference between the involved and healthy parts at different areas; and also compared the change of the temperature difference after the treatment to the decreasing scores of physical examination afterward. Results: The statistic result showed that the temperature difference between two sides on patients group was significantly higher than those of control group. The further analysis shows that the temperature difference at posterior femur area in the patient's group correlated significantly to the severity of clinical signs caused by nerve root irritation. Conclusions: The thermograph could only be considered as a reference in the diagnosis of lumbar disc protrusion. It is helpful to discover the severity of radical signs according to the posteior femoral region of hypo-(or hyper) thermogram.\;
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
1998年第9期527-530,共4页
Chinese Journal of Integrated Traditional and Western Medicine
基金
全军八五攻关课题 (No .92后 0 12 )
关键词
腰椎间盘突出
红外热图
手法治疗
诊断
infrared thermograph
lumbar intervertebral disc heriniation
manipulation
