摘要
目的 :探讨腰椎间盘突出症非手术治疗效果与影像学定位的关系。方法 :对 65 8例临床资料完整的腰椎间盘突出症患者非手术治疗效果 ,与胡有谷的影像学区域定位法 (结合 4 2例疗效差而改用手术治疗的探察结果 )进行分类对比分析。结果 :疗效优良组 5 79例 ,矢状位定位于 层面突出为 5 5 0例 (占 94 .9% ) ,水平位分区位于 1～ 2区突出为 5 37例 (占 82 .7% ) ,额状位分域突出位于 a～b区域突出为 5 75例 ( 99.3% ) ;而疗效差组 4 6例 ,突出区域分别为 层面 2 4例 (占 5 2 .2 % )。 1～ 2区 2 5例 (占 5 4 .3% )。a～b区域 2 8例 (占 60 .9% ) ,两组进行区域定位统计分析比较有非常显著性差异。结论 :区域定位可较精确显示腰椎间盘突出的大小、方向、位置、性质 , 层面、1～ 2区、a～ b区域突出非手术治疗效果较好 ,更适合采用非手术治疗 ,在治疗方法的选择上 ,区域定位法应结合其他因素综合考虑。
Objective:To investigate the relationship to the therapeutic efficacy of LDH treated by non-operation and its three dimensionalimage localization by Hu Yougu.Methods:A comparative analys is was performed for the therapeutic efficacy of 658 cases of herniation of lumbar disc treated by non-operation and the operative findings of 42 cases because of the poor result with non-operation, according to the imaging study of three dimensional localization.Result:Good result group:579cases, in the 550 cases at I plane on sagittal plain(94.9%);537 cases showed herniated disc at zone No.1～2 on horizonal plain(92.7%); in the 575 cases at a～b area(99.3%).Poor result group:46 cases, 24 cases(52.2%),lesion at the I plane; 25 cases(54.3%), lesion at the zone NO.1～2;28 cases(60.9%), lesion at the a～b area. Comparing the reault of statistic analysis of the three dimensional image localization between the two group, there is extraordinarilly notable difference.Conclusion:the three dimensional image localization can percisely show the size, position and kind of the herniated discs. Non-operation is good at the cases that the lumbar discs herniated at I plane, zone NO.1～2 and a～b area. It is helpful for the selection of treatment scheme but still should combine with other factors.
出处
《中国中医骨伤科杂志》
CAS
2001年第3期27-29,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
腰椎间盘突出
区域定位
非手术治疗
Lumbar intervertebral disc The three dimensional image localization analysis
