摘要
为证实“单(多)个椎体位移”学说的科学价值、客观地阐明该学说的理论基础,观察了27例接受以脊柱定点旋转复位手法为主的保守治疗腰椎间盘突出症患者,收集了取效前后的数项指标。把其中各项等级数据进行非参性量化处理,使用Spearman秩相关检验,分析各指标间的相关性;其主要分析结果证实:椎体位移的纠正与腰椎功能的恢复和临床症状的改善具有十分显著的相关趋势;而椎管内突出髓核组织在有效治疗前后未见显著占位改变。说明椎体位移在腰椎间盘突出症的发病中具有关键作用,是本病的基本病理改变之一;纠正椎体位移是保守治疗的关键,是调整腰椎间盘突出症时脊柱内外平衡紊乱的关节点。
The study is try to find the clinical significance of vertebral subluxasion in the pathology of Lumbar disc herniation(LDH). 27 cases of LDH patients were consecutively selected; and the quantified (nonlinear) changes of clinical signs were collected by two physical examinations before and after a successful conservative treatment course (mainly spinal vartebral manipulation); the structural and functional changes of subluxed vertebra above involved level were examined by two X-ray films as well as the whole lumbar spine.Almost simultaneously, the patient was taken CT scans to figure any changes in the size and position of protruded disc tissue before and after the treatment.
After analysing the indexes above with mainly Spearman correlation test, it come out that the correlation between the replacemant of subluxed vertebrae and the regaining of lumbar spine movement is strikingly significant; so as the function recovering of involved vertebra and improvement of the clinical state. That lead to the conclusion that 1)vetebral subluxasion is playing a key role in the pathomechanics of LDH; 2)the replacement of involved vertebra is the trigger point for launching conservative managment; it might also be the critical part to reestablsh the balance of spinal mechanical functional system.
出处
《空军总医院学报》
1992年第4期191-195,共5页
Journal of General Hospital of Air Force,PLA
