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腰椎间盘突出症的保守治疗现状
本文就近二年来国内发表的有关腰椎间盘突出症的保守治疗进行综述.
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经皮腰椎间盘切吸术与麻醉推拿术治疗腰椎间盘突出症
经皮腰椎间盘切吸术(APLD)是国内近年来推广的治疗腰突症的新技术,它与麻醉手法大推拿都是非开放性的治疗方法,我们选择了40例患者, 甲组(APLD组)20例,乙组(麻醉推拿组)20例分别采用APLD与麻醉推拿手法给予治疗,现报导如下.
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腰椎间盘突出症术后并发症的分析
我院从1985年~1996年共手术治疗腰椎间空础症278例,发生各种并发症21例,分析如下.
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影响腰椎间盘内压两大因素的生物力学分析
腰椎间盘的退变年龄愈趋早化,椎间盘源性腰腿痛患者越来越多.陶甫[1]曾统计仅约10~20%的此类患者需用手术治疗,大多数医者亦主张手术治疗须十分谨慎,将长期保守治疗无效放在手术适应症的首位.
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From January 1998 to August 2000, the author has treated 50 cases of acute protrusion of the lumbar intervertebral disc by Chinese herbs, massotherapy, and functional exercise with satisfactory therapeutic results reported in the following.
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Clinically, there is a higher incidence of protrusion of the lumbar intervertebral disc. It can cause a terrible pain. The author has treated 66 cases by massotherapy, who were confirmatively diagnosed as having protrusion of the lumbar intervertebral disc by X-ray film and computer-aided tomography, with satisfactory results as reported in the following.Clinical DataAmong the 66 cases in this series, 49 were male and 17 female, ranging in age from 26 to 59 years, averaging 36.2 years. All the patients had got lumbago and unilateral ischialgia, with the left side affected in 37 cases and the right side in 29 cases. The leg pain radiating to lateral malleolus was found in 28 cases, to dorsum of the foot in 24 cases, and to the toes in 14 cases. Intermittent claudication was present in 22 cases, numbness of the affected foot in 16 cases, pain exacerbated when coughing in 35 cases, scoliosis in 21 cases, and positive Lasegue's sign in 48 cases.
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致炎物质在退变腰椎间盘中作用的研究进展
腰椎间盘突出症(protrusion ofthe lumbar intervertebral disc)是骨科的常见病和多发病,是腰腿痛常见的原因.然而其产生的病理机制尚不清楚.传统的观点认为,突出腰椎间盘的机械性压迫是引起神经根性疼痛的原因,但机械性压迫学说并不能满意解释所有的临床和病理现象.
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腰椎间盘退变的机制及基因治疗
腰椎间盘退变及其继发的相关组织异常改变所致下腰痛是临床极为常见的病症,每年要消耗大量的人力、物力和财力.治疗方法有非手术治疗、手术治疗和介入治疗等.手术治疗会破坏脊柱运动单位的生理完整性,而且不能从根本上阻止椎间盘退变的发生和发展.
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腰椎间盘突出症围手术期的健康教育
腰椎间盘突出症是骨科的常见病和多发病,临床表现主要为腰腿痛、坐骨神经痛或下肢麻木感,经X线摄片、CT或MRI检查确诊,经正规保守治疗无效者需行手术治疗.
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手法治疗腰椎间盘突出症的康复护理
腰椎间盘突出症是骨科常见的疾患,常导致腰腿疼痛麻木,腰部活动障碍,严重影响患者的工作和生活.用手法治疗腰椎间盘突出症是非常有效的方法,80%~90%的患者经过保守治疗可以得到不程度的康复[1],而护理对病人的康复及愈后也起着至关重要的作用.我科从1997年至2004年间对收治的68例腰椎间盘突出患者,采用"脊柱定点旋转复位"[2]治疗同时配合牵引、中药热敷、理疗和腰背肌功能锻炼等综合护理措施,取得良好的临床效果.现总结如下.
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腰椎间盘突出症手术病人健康教育探讨
健康教育作为整体护理的重要组成部分,在医院临床工作中收到了良好的效果,缩短了病人平均住院日[1]。现对100例腰椎间盘突出症手术病人进行健康教育需求的调查,了解不同区域病人对健康教育内容和健康教育形式的需求。
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经皮穿刺钬激光治疗腰椎间盘突出症的术后护理
腰椎间盘突出症是骨科的常见病,治疗方法很多[1],目前广泛采用的经皮穿刺激光治疗腰椎间盘突出症的方法属于微创外科技术,与传统的开放性手术相比有许多优点[2],术后护理问题远远少于传统的开放性手术,但仍需给予精心护理和腰背肌功能锻炼的指导以加强手术疗效.现将应用钬激光机经皮穿刺治疗腰椎间盘突出症208例病人的护理方法报告如下.
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椎间盘内外联合注射臭氧治疗腰椎间盘突出症的观察和护理
腰椎间盘突出症95%发生于腰4与腰5、腰5与骶1椎间隙,压迫了腰5和骶1神经根,故主要表现为坐骨神经痛症状[1].2005年6月-2006年3月我院选择性地为120例腰4与腰5、腰5与骶1椎间盘突出症病人经侧隐窝椎间盘内外联合注射臭氧(O3)治疗,同时在术前、术后给予密切观察,采取针对性护理措施,取得了满意的疗效.现介绍如下.
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腰椎间盘突出症术后中西医结合康复疗法护理疗效观察
腰椎间盘突出症(LIDP),是因椎间纤维环退行性改变或外伤致纤维环破裂,髓核从裂隙中突出,使相应的神经根受到刺激或压迫而出现的一系列症状和体征.它是骨科的常见病,多发病,以青少年居多.
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STORZ椎间盘镜微创治疗腰椎间盘突出症的护理
STORZ椎间盘镜微创治疗腰椎间盘突出症通过特制的微型工作通道和光导系统,直接去除突出破坏的椎间盘和其他粘连致压物,扩大椎管、神经根管,以解除对脊髓和神经根的压迫刺激,因其创伤小,痛苦小,效果可靠,受到许多病人青睐,而如何对病人进行系统的整体护理,尽快恢复健康,也给护理人员提出新的要求.2006年6月-2007年6月对本科65例行STORZ椎间盘镜手术的病人进行了系统的护理,效果良好.现介绍如下.
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老年性腰椎间盘突出症的诊断及早期康复体会
INTRODUCTIONSenile protrusion of lumbar intervertebral disc has many difference compared with the middle-aged and younger at etiology, pathological change, symptom, sign, image change, diagnosis and treatment, which character is: no traumatic history, long disease course, untypical symptom and sign, many complications, bad body quantity and complicated treatment.
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综合康复疗法对腰椎间盘突出症的作用
BACKGROUND:Conservative therapy is very important in treatment of lumbar protrusion of lumbar intervertebral disc and symptoms can be alleviated or disappear in most patients by physical therapy,traction and other comprehensive methods.
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骶管阻滞与运动推拿加牵引治疗腰椎间盘突出症的疗效比较
Background:Epidural injection is an important method in treatment of protrusion of lumbar intervertebral disc.Especially in the recent decade sacral injection is adopted more and more often.
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不同术式治疗腰椎管肿瘤合并腰椎间盘突出患者疼痛的疗效观察
Background: There was seldom report on lumbar spine tube tumor combined with prolapse of lumbar intervertebral disc. In clinical treatment doctors are usually satisfied by the discovery of prolapse of lumbar intervertebral disc, and neglect the existence of tumor. The main symptoms are lumbago, and its obviously when patients rest at night. Objective: To explore curative effects of different therapies to treat patients' pains of lumbar spine tube tumor combined with prolapse of lumbar intervertebral disc. Unit: People Hospital of Taizhou City.
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腰椎间盘突出症术后康复治疗
Background:Now,transcutaneous lumbar removal of vertebral disc,a kind of effective treatments for prolapse of lumbar intervertebral disc is widely used in clinic .Postoperative rehabilitation training has been recepted in clinic. Objective:In order to strengthen stability of spine,oppression and stimulation for nerve root were removed. Unit:General Hospital of Shenyang Military Region.