[1]梁伍,曾宪辉,周敬林.腰椎间盘突出症伴骶髂关节错位的治疗[J].中医正骨,2011,23(08):9-12.
 LIANG Wu*,ZENG Xian-hui,ZHOU Jing-lin.*.The Clinical Experience of The Lumbar Disc Herniation With Sacroiliac Joint Malposition[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(08):9-12.
点击复制

腰椎间盘突出症伴骶髂关节错位的治疗()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期数:
2011年08期
页码:
9-12
栏目:
临床研究
出版日期:
2011-08-30

文章信息/Info

Title:
The Clinical Experience of The Lumbar Disc Herniation With Sacroiliac Joint Malposition
作者:
梁伍曾宪辉周敬林
广东省东莞市茶山医院,广东 东莞 523382
Author(s):
LIANG Wu* ZENG Xian-hui ZHOU Jing-lin.*
Chashan Hospital,Dongguan 523382,Guangdong,China
关键词:
椎间盘移位 腰椎 骶髂关节
Keywords:
Intervertebral Disk Displacement Lumbar Verterbrae Sacroiliac Joint
摘要:
目的:观察不同治疗方法对腰椎间盘突出症伴骶髂关节错位的效果。方法:135例患者随机分为3组。对照组45例,以治疗腰椎间盘突出症为主,用手法整复偏歪棘突及腰椎小关节紊乱,给予水平牵引等治疗。治疗1组45例,治疗骶髂关节错位为主,以正骨推拿手法治疗。治疗2组45例,腰椎间盘突出症与骶髂关节错位同时治疗,以三维牵引为主,并综合应用上面的治疗方法。结果:治疗1组治疗后骶髂关节错位的整复效果好,但腰曲值改善率低。治疗2组治疗后骶髂关节错位的整复效果好,腰曲的改善率高。对照组对骶髂关节错位无整复效果,腰曲值改善率明显。结论:治疗腰椎间盘突出症伴骶髂关节错位要分清主次,筋骨并重,而三维牵引是一种有效的治疗方法。
Abstract:
Objective:To observe the effect of using different treatment methods to treat the lumbar disc herniation with sacroiliac joint malposition.Methods:The 135 cases were divided randomly into three groups, the contrastive group had 45 cases,and mainly treated the lumbar disc herniation,used the manual therapy to restore the malposition of lumbar spine and the disorder of lumbar facet joints, as well as the level traction and so on. The first experimental group had 45 cases, and mainly treated the sacroiliac joint malposition,used the Bone-setting naprapathy to card bones and complex dislocation of the sacroiliac joints.The second experimental group had 45 cases,the lumbar disc herniation and the sacroiliac joint malposition were treated together,mainly treated by the three-dimensional, and synthetically made use of the above treatment.Results:After the treatment, the restoration effect of the sacroiliac joint dislocation of the first experimental group was well, but the improvement rate of the lumbar curvature value was low.The restoration effect of the sacroiliac joint dislocation of the second experimental group was well, and the improvement rate of the lumbar curvature value was high.The contrastive group had no restoration effect of sacroiliac joint dislocation,but the improvement rate of the lumbar curvature value was patency.Conclusion:When treating the lumbar disc herniation with sacroiliac joint malposition,we must distinguish between the primary and secondary, veins and bones should be seriously,and the three-dimensional traction is an effective treatment.

参考文献/References:

[1] 龙层花,钟士元,王廷臣.骨盆旋移综合征[J].颈腰痛杂志,2004,25(3):198-202.
[2] 孙峰.香港中医门诊腰腿痛病人就诊病种统计分析[J].中医药通报,2009,8(1):36-39.
[3] 国家中医药管理局.中医病症诊断疗效标准[S].南京:南京大学出版社,1994:201-202.
[4] 王兵,王军,王辰英,等.骨科手法治疗学[M].北京:中国科学技术出版社,2002:169-171.
[5] 梁伍,卢柳霞,王青松,等.三维牵引治疗骶髂关节错位68例的临床研究[J].山东中医杂志2009,28(6):406-408.
[6] 陈忠和.下位胸椎与腰骶部常见损伤诊治经验[J].广西中医药,1999,10(5):8-10,12.
[7] 梁伍,卢柳霞,王青松,等.三维牵引治疗腰椎间盘突出症伴骶髂关节错缝的临床研究[J].中国中医骨伤科杂志,2009,17(6):43-44.
[8] 王平.颈肩腰腿痛特效手法治疗图解[M].北京.人民军医出版社,2009,114-124.
[9] 高群兴,张盛强,朱干,等.腰椎间盘突出症治疗方法与腰椎生理曲度变化的相关性研究[J].中医正骨,2006,18(5):13-14,16.
[10] 冯天有.损伤性脊柱疾病诊治的中西医结合临床研究[J].空军总医院学报,1997,13(2):63-66.
[11] 黄仕荣,詹红生,石印玉.腰椎间盘突出症腰腿痛与腰椎功能的相关性研究[J].颈腰痛杂志,2006,27(4):273-275.
[12] 朱才兴,焦伟国,成忠实,等.骶髂关节错位误诊单纯腰椎间盘突出症原因分析[J].中国康复理论与实践,2004,10(4):234-235.

备注/Memo

备注/Memo:
2010-06-10收稿 2011-01-08修回
基金项目:广东省中医药局建设中医药强省科研项目(NO:2009342)
通讯作者:梁伍 E-mail:liangwu0769@126.com
更新日期/Last Update: 2011-08-30